Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or Connecticut for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Connecticut only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. Connecticut (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Holly Simms (NPI 1063611432)

Field	Value
Entity Type	Individual
Organization	Holly Simms
Address	99 East River Drive
City	East Hartford
State	CT
ZIP	06108
Taxonomy	Certified Registered Nurse Anesthetist
NPI Enumerated	July 16, 2007

Payer Source	Total Paid
Medicare	$16.9K
Medicaid	$0

Medicare: Complete Services Breakdown

The CPT/HCPCS codes generating the most Medicare revenue for this provider.

4 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
01938	The provider performs anesthesia services for a patient undergoing percutaneous image–guided injection, drainage, or aspiration procedures on the lumbar or sacral spine or spinal cord.	50	$110	$5.2K
01940	The provider performs anesthesia services for a patient undergoing percutaneous image–guided destruction procedures using a neurolytic agent. The anatomic area for the procedure is…	40	$130	$4.9K
01937	The provider performs anesthesia services for a patient undergoing percutaneous image–guided injection, drainage, or aspiration procedures on the cervical or thoracic spine or spinal cord.	40	$110	$4.7K
01939	The provider performs anesthesia services for a patient undergoing percutaneous image–guided destruction procedures using a neurolytic agent. The anatomic area for the procedure is the cervical or…	20	$130	$2.2K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 4 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Connecticut Distribution

Holly Simms — 1 of 4 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Connecticut

Full comparison — all codes billed, vs. state median

4 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
01937	1	10	30	$90	$2.5K
01938	5	20	20	$50	$1.8K
01939	2	10	20	$90	$1.6K
01940	2	10	20	$80	$1.6K

Related Providers

Other providers that share a Tax Identification Number (TIN) with Holly Simms, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Connecticut Gi PLLC	CT	Gastroenterology Physician	$0	$12M
Integrated Anesthesia Associates LLC	CT	Anesthesiology Physician	$0	$1.4M
Robert Najarian	MA	Anatomic Pathology Physician	$520.7K	$878.6K
Endoscopy Center Of Connecticut, LLC	CT	Endoscopy Clinic/Center	$466.1K	$446.5K
Yusuf Aref	FL	Anesthesiology Physician	$619.8K	$0
Susan Gobel	CT	Anatomic Pathology & Clinical Pathology Physician	$539K	$0
Ayesha Siddique	CT	Anatomic Pathology & Clinical Pathology Physician	$353.4K	$0
Angela Fields	WA	Anatomic Pathology & Clinical Pathology Physician	$343.1K	$0
Anshu Trivedi	CT	Anatomic Pathology Physician	$296.6K	$0
Jennifer Dodge	NY	Physician Assistant	$276.4K	$0

Nearby Providers

Other providers in the same ZIP code as Holly Simms, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
First Choice Health Centers, Inc.	CT	Federally Qualified Health Center (FQHC)	$0	$51.4M
Primary Prevention Home Care LLC	CT	Home Health Agency	$0	$19.5M
East Hartford Elder Care, LLC.	CT	Adult Day Care Clinic/Center	$0	$11.1M
Sovereign Home Healthcare LLC	CT	Preferred Provider Organization	$0	$3.8M
Connectident, LLC	CT	Pediatric Dentistry	$0	$3.7M
East Hartford Board Of Education	CT	Local Education Agency (LEA)	$0	$2.8M
Bio-medical Applications Of Connecticut, Inc.	CT	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$2.1M
Tuyen Nguyen	CT	Oral and Maxillofacial Surgery (Dentist)	$0	$1.8M
East Hartford Orthodontics	CT	Orthodontics and Dentofacial Orthopedics Dentistry	$0	$1.5M
Town Of East Hartford	CT	Ambulance	$0	$1.4M

Holly Simms — Billing Profile & Reimbursement Data

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Holly Simms — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References