Medicare Facts for Alison N. Sims, MS


National Provider Identifier [NPI]: 1407981285
Last Name Of The Provider SIMS
First Name Of The Provider ALISON
Middle Initial Of The Provider F
Credentials Of The Provider M.D.
Gender Of The Provider F
Entity Type Of The Provider I
Street Address 1 Of The Provider 2075 SAN JOAQUIN HILLS RD
Street Address 2 Of The Provider
City Of The Provider NEWPORT BEACH
Zip Code Of The Provider 926606505
State Code Of The Provider CA
Country Code Of The Provider US
Provider Type Of The Provider Internal Medicine
Medicare Participation Indicator Y
Number Of HCPCS 63
Number Of Services 923
Number Of Medicare Beneficiaries 374
Total Submitted Charge Amount 141102
Total Medicare Allowed Amount 82173.46
Total Medicare Payment Amount 59712.68
Total Medicare Standardized Payment Amount 53445.44
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 12
Number Of Drug Services 153
Number Of Medicare Beneficiaries With Drug Services 63
Total Drug Submitted ChargeAmount 6017
Total Drug Medicare AllowedAmount 512.91
Total Drug Medicare PaymentAmount 453.65
Total Drug Medicare Standardized Payment Amount 453.65
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 51
Number Of Medical Services 770
Number Of Medicare Beneficiaries With Medical Services 374
Total Medical Submitted Charge Amount 135085
Total Medical Medicare Allowed Amount 81660.55
Total Medical Medicare Payment Amount 59259.03
Total Medical Medicare Standardized Payment Amount 52991.79
Average Age Of Beneficiaries 74
Number Of Beneficiaries Age Less65 12
Number Of Beneficiaries Age 65 to 74 199
Number Of Beneficiaries Age 75 to 84 114
Number Of Beneficiaries Age Greater 84 49
Number Of Female Beneficiaries 225
Number Of Male Beneficiaries 149
Number Of Non Hispanic White Beneficiaries 348
Number Of Black or African American Beneficiaries 0
Number Of AsianPacific Islander Beneficiaries 12
Number Of Hispanic Beneficiaries
Number Of American Indian Alaska Native Beneficiaries 0
Number Of Beneficiaries With Race Not Else where Classified
Number Of Beneficiaries With Medicare Only Entitlement
Number Of Beneficiaries With Medicare Medicaid Entitlement
Percent Of With Atrial Fibrillation 11
Percent Of With Alzheimers Disease or Dementia 10
Percent Of With Asthma 7
Percent Of With Cancer 15
Percent Of With Heart Failure 8
Percent Of With Chronic Kidney Disease 12
Percent Of With Chronic Obstructive Pulmonary Disease 8
Percent Of With Depression 15
Percent Of With Diabetes 14
Percent Of With Hyperlipidemia 48
Percent Of With Hypertension 50
Percent Of With Ischemic Heart Disease 28
Percent Of With Osteoporosis 10
Percent Of With Rheumatoid Arthritis Osteoarthritis 36
Percent Of With Schizophrenia Other PsychoticDisorders
Percent Of With Stroke 6
Average HCC Risk Score Of Beneficiaries 0.9549

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