Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Stephen M. Sims, MD, PA

Stephen M. Sims, MD, PA was paid $0.00 by Medicaid between Jan 2018 and Jun 2019, across 1 billing code. Its largest line is G0482, Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 15-21 drug class(es), including metabolite(s) if performed — 0% of everything it billed.

33Billing provider infoSTEPHEN M. SIMS, MD, PA
HUNTSVILLE, TX 77340
33aNPI1235148172assigned 08/07/2006
33bProvider typePain Medicine Physician
28Total paid$0.00
24GClaims156
24DCodes billed1
24AFirst – last monthJan 2018 – Jun 2019
Compared with peers

Next to other Pain Medicine Physician providers in Texas

Rank by total paid#15 of 15
Median peer was paid$3K
This provider vs. median0.0×

Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.

Box 24A · Dates of service

Paid by month

Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
YearClaimsPaid
2018114$0.00
201942$0.00
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
G0482 Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 15-21 drug class(es), including metabolite(s) if performed 0% 156 147 $0.00

Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.

From NPPES

Who's on the registration

Authorized officialSIMS, STEPHEN (OWNER)
Same official

Other billing entities under SIMS, STEPHEN

Full network →
ProviderLocationPaid
City of Bella Vista Ambulance ServiceBella Vista, AR$69K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.