PROVIDER PROFILE · NPI 1083623136

Stephen SimsMD

PRACTICESTEPHEN M. SIMS, MD, PASee all providers at this practice →

Pain ManagementHuntsville, TXI

MEDICARE UTILIZATION · PART B · 2024

Total beneficiaries

3,698

Unique beneficiaries

—

Total services

39,831

Distinct HCPCS

Medicare payment

$515K

Peer benchmark

Total Medicare services vs. 262 Pain Management providers in TX — top quintile (cohort median 2,239).

PRESCRIBING · PART D · 2024

Total Rx claims

6,217

Beneficiaries

—

Total drug cost

$245K

Distinct drugs

Brand share

51.8%

Top prescribed drugs

Hydrocodone/Acetaminophen2,416 claims

Gabapentin511 claims

Tramadol Hcl448 claims

Oxycodone Hcl/Acetaminophen350 claims

Oxycodone Hcl292 claims

QUALITY · MIPS · 2024

Final MIPS score

92.3

Quality

81.4

Cost

69.7

Improvement activities

40.0

Promoting interop.

0.0

Payment adjustment

0.73%

Group

INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024

Total received

$4K

Payment records

By payment type

Consulting Fee$2K

Food and Beverage$2K

FACILITY AFFILIATIONS

Hospital & Facility Affiliations (4)

Hospital

Hospital

Hospital

Hospital

REFERRAL NETWORK

Where Stephen Sims's patients come from & go

Directional shared-patient flow from Medicare claims — who sends patients to this provider (inbound) and where this provider's patients go next (outbound). 20 inbound referrers · 43 outbound destinations.

Receives referrals from

Inbound — who sends patients here

Physician	Patients	Visits
WALKER COUNTY HOSPITAL CORPORATION	98	289
HARMON, ROBERT	76	143
Howard Freeman Certified Registered Nurse Anesthetist (CRNA) · Houston, TX	69	134
Clinical Pathology Laboratories, Inc. Clinical Laboratory · Austin, TX	47	168
Quest Diagnostics Clinical Laboratories Inc Clinical Laboratory · Houston, TX	37	144
ASPIRE HOSPITAL, LLC	30	88
Deborah Ancona - Schultz Diagnostic Radiology · Houston, TX	30	78
Anisa Gopalani Interventional Pain Management · Huntsville, TX	24	50
Heather Mccarthy Certified Registered Nurse Anesthetist (CRNA) · Bridgeport, CT	20	35
Linh Dang Neurology · The Woodlands, TX	19	117
Nabeel Khan Internal Medicine · Huntsville, TX	19	111
Paul Kenworthy Urology · Huntsville, TX	16	77

Refers patients to

Outbound — where patients go next

Physician	Patients	Visits
Howard Freeman Certified Registered Nurse Anesthetist (CRNA) · Houston, TX	144	400
HARMON, ROBERT	139	379
Laboratory Corporation Of America Clinical Laboratory · Houston, TX	105	271
WALKER COUNTY HOSPITAL CORPORATION	98	438
CHCA CONROE LP	50	175
ASPIRE HOSPITAL, LLC	42	121
Quest Diagnostics Clinical Laboratories Inc Clinical Laboratory · Houston, TX	41	151
Clinical Pathology Laboratories, Inc. Clinical Laboratory · Austin, TX	39	135
Anisa Gopalani Interventional Pain Management · Huntsville, TX	30	85
Walter Toronjo Family Practice · Huntsville, TX	22	129
Benjamin Hyman Diagnostic Radiology · Tyler, TX	22	68
Arif Abdullah Cardiology · Conroe, TX	21	68

Source: CMS Physician Shared Patient Patterns (30-day window, Medicare FFS). Direction = a beneficiary seen by the first provider, then the second, within 30 days; a proxy for referral, not a documented referral. Pairs with fewer than 11 shared beneficiaries are suppressed.

CROSS-REFERENCE

Related data on other Healthparse brands

ProviderScore

OIG/SAM exclusion screening, sanctions history