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PROVIDER PROFILE · NPI 1831411396

Michael SimsCRNA

PRACTICEGASTROINTESTINAL SPECIALISTS FOUNDATION, INCSee all providers at this practice →
Certified Registered Nurse Anesthetist (CRNA)Memphis, TNI
CROSS-REFERENCE

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ProviderScore
OIG/SAM exclusion screening, sanctions history
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MEDICARE UTILIZATION · PART B · 2024
Total beneficiaries
226
Unique beneficiaries
—
Total services
228
Distinct HCPCS
5
Medicare payment
$20K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 2,210 Certified Registered Nurse Anesthetist (CRNA) providers in TN — top quintile (cohort median 110).
REFERRAL NETWORK

Where Michael 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). 6 inbound referrers · 0 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
Kenneth Fields
Gastroenterology · Memphis, TN
105309
Paul Bierman
Gastroenterology · Harvey, IL
64183
Paul Tanner
Diagnostic Radiology · Memphis, TN
1414
Pathgroup Labs, Llc
Clinical Laboratory · Nashville, TN
1112
Laboratory Corporation Of America Holdings
Clinical Laboratory · Birmingham, AL
1114
BAPTIST MEMORIAL HOSPITAL-TIPTON1114
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.
QUALITY · MIPS · 2024
Final MIPS score
95.3
Quality
90.5
Cost
85.4
Improvement activities
40.0
Promoting interop.
100.0
Payment adjustment
0.85%
Group
PRESCRIBING · PART D · 2024
No data available for this provider in 2024.
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
Total received
$1K
Payment records
77
By payment type
Food and Beverage$1K
Education$25