PROVIDER PROFILE · NPI 1093956351

Melanie SimsNP

Nurse PractitionerCarrollton, GAI

MEDICARE UTILIZATION · PART B · 2024

Total beneficiaries

447

Unique beneficiaries

—

Total services

549

Distinct HCPCS

Medicare payment

$35K

Peer benchmark

Total Medicare services vs. 6,490 Nurse Practitioner providers in GA — above median (cohort median 244).

PRESCRIBING · PART D · 2024

Total Rx claims

359

Beneficiaries

—

Total drug cost

$30K

Distinct drugs

Brand share

29.8%

Top prescribed drugs

Pantoprazole Sodium61 claims

Omeprazole55 claims

Sodium, Potassium,mag Sulfates47 claims

Sucralfate36 claims

Famotidine29 claims

QUALITY · MIPS · 2024

Final MIPS score

92.2

Quality

94.3

Cost

77.6

Improvement activities

40.0

Promoting interop.

100.0

Payment adjustment

0.72%

Group

INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024

Total received

$1K

Payment records

By payment type

Food and Beverage$1K

Education$75

FACILITY AFFILIATIONS

Hospital & Facility Affiliations (2)

CCN 110011

Hospital

CCN 110015

Hospital

REFERRAL NETWORK

Where Melanie 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). 21 inbound referrers · 42 outbound destinations.

Receives referrals from

Inbound — who sends patients here

Physician	Patients	Visits
Alexandre Morin Diagnostic Radiology · Carrollton, GA	43	112
West Georgia Ambulance Inc Ambulance Service Provider · Carrollton, GA	41	69
Brian Weber Diagnostic Radiology · Carrollton, GA	36	67
Robert Hyslop Diagnostic Radiology · Carrollton, GA	28	52
Lindsey Roenigk Critical Care (Intensivists) · Carrollton, GA	26	51
TMC/HIGGINS GENERAL HOSPITAL	22	34
Willie Winzer Internal Medicine · Atlanta, GA	20	43
Darin Brummett Diagnostic Radiology · Carrollton, GA	20	55
Maria Orig Nephrology · Carrollton, GA	18	72
Haley Mcneese Nurse Practitioner · Anniston, AL	18	31
Nalini Narayan Hospitalist · Carrollton, GA	18	34
Marvin Reid Internal Medicine · Carrollton, GA	16	32

Refers patients to

Outbound — where patients go next

Physician	Patients	Visits
TANNER MEDICAL CENTER, INC	55	74
Timothy Ozburn Diagnostic Radiology · Carrollton, GA	54	113
West Georgia Ambulance Inc Ambulance Service Provider · Carrollton, GA	44	77
John Arnold Diagnostic Radiology · Carrollton, GA	41	74
Jeffrey Reid Internal Medicine · Carrollton, GA	39	74
Vaughn Clagette Internal Medicine · Carrollton, GA	36	66
Marvin Reid Internal Medicine · Carrollton, GA	34	53
Alexandre Morin Diagnostic Radiology · Carrollton, GA	33	73
Brian Weber Diagnostic Radiology · Carrollton, GA	33	62
Lindsey Roenigk Critical Care (Intensivists) · Carrollton, GA	32	51
Nalini Narayan Hospitalist · Carrollton, GA	30	58
Charlie Rouse Cardiology · Carrollton, GA	30	80

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