Sims, Scott

Sims, Scott was paid $23K by Medicaid between Jan 2018 and Apr 2022, across 2 billing codes. Its largest line is 90960, End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits — 64% of everything it billed.

33Billing provider infoSIMS, SCOTT
BOWLING GREEN, KY 42101

33aNPI1568425106assigned 04/06/2006

33bProvider typeNephrology Physician

28Total paid$23K

24GClaims447

24DCodes billed2

24AFirst – last monthJan 2018 – Apr 2022

Compared with peers

Next to other Nephrology Physician providers in Kentucky

Rank by total paid#16 of 25

Median peer was paid$52K

This provider vs. median0.4×

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
2018	144	$2K
2020	35	$1K
2021	254	$17K
2022	14	$2K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
90960	End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits	64%	118	106	$15K
99232	Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity	36%	329	108	$8K

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.