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PROVIDER PROFILE · NPI 1205851730

Matthew SimsMD

Infectious DiseaseRoyal Oak, MII
CROSS-REFERENCE

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ProviderScore
OIG/SAM exclusion screening, sanctions history
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FACILITY AFFILIATIONS

Hospital & Facility Affiliations (4)

CCN 237112
Home health agency
CCN 230020
Hospital
CCN 230130
Hospital
CCN 230269
Hospital
MEDICARE UTILIZATION · PART B · 2024
Total beneficiaries
181
Unique beneficiaries
—
Total services
238
Distinct HCPCS
5
Medicare payment
$25K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 212 Infectious Disease providers in MI — below median (cohort median 386).
PRESCRIBING · PART D · 2024
Total Rx claims
107
Beneficiaries
—
Total drug cost
$94K
Distinct drugs
4
Brand share
45.8%
Top prescribed drugs
Vancomycin Hcl34 claims
Sulfamethoxazole/Trimethoprim25 claims
Bictegrav/Emtricit/Tenofov Ala24 claims
Methenamine Hippurate24 claims
REFERRAL NETWORK

Where Matthew 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). 29 inbound referrers · 26 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
NPI 119473396465159
James Stewart
Cardiology · Berkley, MI
5087
Michael Tenzer
Diagnostic Radiology · Royal Oak, MI
2645
NPI 14078175472659
Andrew Boyer
Diagnostic Radiology · Rutland, VT
2545
Monisha Shetty
Diagnostic Radiology · Royal Oak, MI
2535
Nicholas Abel
Diagnostic Radiology · Mishawaka, IN
2247
Tiffany Langlas
Diagnostic Radiology · Royal Oak, MI
2228
Abdul-Majid Khan
Diagnostic Radiology · Royal Oak, MI
2126
DONOVAN, KENT1931
Syed Jafri
Diagnostic Radiology · Royal Oak, MI
1846
Bridget Wiater
Diagnostic Radiology · Royal Oak, MI
1827
Refers patients to
Outbound — where patients go next
PhysicianPatientsVisits
WILLIAM BEAUMONT HOSPITAL81539
James Stewart
Cardiology · Berkley, MI
3462
NPI 11947339643380
BEAUMONT MEDICAL TRANSPORTATION SERVICES, INC2952
Kiran Nandalur
Diagnostic Radiology · Ann Arbor, MI
2658
NPI 14078175472566
Mark Burnstein
Diagnostic Radiology · Detroit, MI
2557
Christopher Carpenter
Infectious Disease · Royal Oak, MI
2336
David Marcantonio
Diagnostic Radiology · Royal Oak, MI
2130
FARAH, MICHAEL2129
Ghiyath Habra
Diagnostic Radiology · Troy, MI
2133
Hai Tien
Diagnostic Radiology · Jbsa Lackland, TX
1830
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.
QUALITY · MIPS · 2024
Final MIPS score
84.4
Quality
66.7
Cost
71.0
Improvement activities
40.0
Promoting interop.
100.0
Payment adjustment
0.39%
Group
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
Total received
$328
Payment records
3
By payment type
Food and Beverage$328