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PROVIDER PROFILE · NPI 1427199546

Marcus SimsM.D.

PRACTICEGWINNETT HEART SPECIALISTS LLCSee all providers at this practice →
CardiologyLawrenceville, GAI
CROSS-REFERENCE

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ProviderScore
OIG/SAM exclusion screening, sanctions history
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PricingContactPrivacyTerms
QUALITY · MIPS · 2024
Final MIPS score
91.6
Quality
83.3
Cost
0.0
Improvement activities
40.0
Promoting interop.
100.0
Payment adjustment
0.70%
APM Entity
PRESCRIBING · PART D · 2024
Total Rx claims
4,656
Beneficiaries
—
Total drug cost
$768K
Distinct drugs
58
Brand share
25.3%
Top prescribed drugs
Atorvastatin Calcium399 claims
Metoprolol Succinate381 claims
Amlodipine Besylate304 claims
Apixaban254 claims
Metoprolol Tartrate239 claims
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
Total received
$2K
Payment records
62
By payment type
Food and Beverage$2K
MEDICARE UTILIZATION · PART B · 2024
Total beneficiaries
1,514
Unique beneficiaries
—
Total services
2,020
Distinct HCPCS
17
Medicare payment
$115K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 554 Cardiology providers in GA — below median (cohort median 2,370).
REFERRAL NETWORK

Where Marcus 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). 101 inbound referrers · 196 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
EASTSIDE MEDICAL CENTER, LLC258618
Gwinnett County Board Of Commissioners
Ambulance Service Provider · Lawrenceville, GA
240719
NPI 1275529448177578
Marc Unterman
Cardiology · Lawrenceville, GA
168811
Gautam Jagoo
Diagnostic Radiology · Snellville, GA
157422
Sreeni Gangasani
Advanced Heart Failure and Transplant Cardiology · Lawrenceville, GA
143932
Michael Lipsitt
Internal Medicine · Lawrenceville, GA
134855
Charlotte Hayes
Diagnostic Radiology · Snellville, GA
103200
Joseph Perez
Internal Medicine · Lawrenceville, GA
99363
MONROE HMA, LLC96312
Robert Kubek
Diagnostic Radiology · Snellville, GA
83186
Douglas Seeb
Diagnostic Radiology · Lawrenceville, GA
77237
Refers patients to
Outbound — where patients go next
PhysicianPatientsVisits
NORTHSIDE HOSPITAL, INC.336908
EASTSIDE MEDICAL CENTER, LLC278569
Yuri Pride
Interventional Cardiology · Lawrenceville, GA
178796
Marc Unterman
Cardiology · Lawrenceville, GA
138717
Quest Diagnostics Clinical Laboratories Inc
Clinical Laboratory · Tucker, GA
135273
Michael Lipsitt
Internal Medicine · Lawrenceville, GA
126774
Sreeni Gangasani
Advanced Heart Failure and Transplant Cardiology · Lawrenceville, GA
124930
Metro Atlanta Ambulance Services Inc
Ambulance Service Provider · Marietta, GA
114270
FINLEY, JOSEPH110374
PRO CARE EMS, LLC106392
NPI 1275529448103335
Gregory Berkey
Diagnostic Radiology · Snellville, GA
88176
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.