PROVIDER PROFILE · NPI 1720077530

Michelle SimsMD

PRACTICEWHEATON EYE CLINIC LTDSee all providers at this practice →

OphthalmologyWheaton, ILI

MEDICARE UTILIZATION · PART B · 2024

Total beneficiaries

1,231

Unique beneficiaries

—

Total services

1,509

Distinct HCPCS

Medicare payment

$208K

Peer benchmark

Total Medicare services vs. 667 Ophthalmology providers in IL — below median (cohort median 2,192).

PRESCRIBING · PART D · 2024

Total Rx claims

874

Beneficiaries

—

Total drug cost

$80K

Distinct drugs

Brand share

47.5%

Top prescribed drugs

Prednisolone Acetate365 claims

Moxifloxacin Hcl291 claims

Cyclosporine58 claims

Erythromycin Base45 claims

Cyclosporine31 claims

QUALITY · MIPS · 2024

Final MIPS score

95.6

Quality

88.5

Cost

0.0

Improvement activities

40.0

Promoting interop.

100.0

Payment adjustment

0.87%

APM Entity

INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024

Total received

$1K

Payment records

By payment type

Consulting Fee$1K

Food and Beverage$172

REFERRAL NETWORK

Where Michelle 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). 4 inbound referrers · 0 outbound destinations.

Receives referrals from

Inbound — who sends patients here

Physician	Patients	Visits
CENTRAL DUPAGE HOSPITAL ASSOCIATION	60	93
EDWARD HOSPITAL	55	82
Gassan Mohama Anesthesiology · Chicago, IL	52	82
Helene Pardo-Isaac Anesthesiology · Chicago, IL	30	41

Refers patients to

Outbound — where patients go next

No outbound pairs above the suppression threshold.

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