Sims, Rita

Sims, Rita was paid $4.18M by Medicaid between Dec 2020 and Dec 2024, across 8 billing codes. Its largest line is H2016, community support for mental illness or disability, billed per day — 85% of everything it billed.

33Billing provider infoSIMS, RITA
BEAUMONT, TX 77705

33aNPI1558524694assigned 07/09/2008

33bProvider typeSocial Worker

28Total paid$4.18M

24GClaims20,460

24DCodes billed8

24AFirst – last monthDec 2020 – Dec 2024

Compared with peers

Next to other Social Worker providers in Texas

Rank by total paid#5 of 34

Median peer was paid$200K

This provider vs. median21×

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

Year	Claims	Paid
2020	14	$103.88
2021	1,034	$14K
2022	4,233	$1.09M
2023	7,183	$1.49M
2024incomplete	7,996	$1.59M

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
H2016	Community support for mental illness or disability, billed per dayComprehensive community support services, per diem	85%	5,788	1,075	$3.56M
H2014	Skills training and development, per 15 minutes	10%	8,968	568	$423K
T2020	Day habilitation, waiver; per diem	3.1%	1,740	225	$129K
T1002	Rn services, up to 15 minutes	<1%	447	222	$22K
T1003	Lpn/lvn services, up to 15 minutes	<1%	1,993	921	$21K
M0298		<1%	1,430	546	$16K
M0299		<1%	67	51	$4K
M0315		<1%	27	12	$388.36

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.