Edward H Sims M D Facs INC
Edward H Sims M D Facs INC was paid $72K by Medicaid between Dec 2018 and Nov 2021, across 4 billing codes. Its largest line is 99291, Critical care, evaluation and management of the critically ill patient, first 30-74 minutes — 56% of everything it billed.
33Billing provider infoEDWARD H SIMS M D FACS INC
LYNWOOD, CA 90262
LYNWOOD, CA 90262
33aNPI1689019515assigned 05/06/2013
33bProvider typeSpecialist
28Total paid$72K
24GClaims1,112
24DCodes billed4
24AFirst – last monthDec 2018 – Nov 2021
Compared with peers
Next to other Specialist providers in California
Rank by total paid#564 of 1,230
Median peer was paid$51K
This provider vs. median1.4×
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 | 91 | $5K | |
| 2019 | 18 | $770.81 | |
| 2020 | 287 | $17K | |
| 2021 | 716 | $49K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | 56% | 396 | 265 | $40K |
| 99292 | 21% | 287 | 202 | $15K | |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 16% | 280 | 166 | $12K |
| 99356 | 7.5% | 149 | 92 | $5K |
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, EDWARD (PRESIDENT)