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    OpenPayerNPI Medicare & MedicaidTimothy Mims
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    Timothy Mims — Billing Profile & Reimbursement Data

    NPI 1083692982 · Lexington, KY · Pain Medicine (Anesthesiology) Physician

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    Timothy Mims is a pain medicine (anesthesiology) physician provider located in Lexington, Kentucky. This profile covers 30 Medicare and 3 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationTimothy Mims
    Address2443 Sir Barton Way Ste 275
    CityLexington
    StateKY
    ZIP40509
    TaxonomyPain Medicine (Anesthesiology) Physician
    NPI EnumeratedJanuary 3, 2006

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicare$542.1K
    Medicaid$14.9K

    Medicare: Total Revenue Breakdown by CPT/HCPCS Code

    Medicare revenue breakdown by CPT/HCPCS procedure code.

    View: Bar Chart1 / 2

    Medicare: Complete Services Breakdown

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

    30 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99214The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…2,310$90$212.2K
    99213The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…1,100$70$71.6K
    99490The clinical staff provides services directed by the provider to support and coordinate a patient’s care across multiple disciplines. The patient has two or more chronic conditions that place the…690$50$31.7K
    64635Under fluoroscopic or CT guidance, the provider applies an agent to a lower back joint to destroy nerve tissue.70$450$31.7K
    99204The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the provider…200$110$22.4K
    64493The provider injects a diagnostic or therapeutic substance into a single lumbar or sacral paravertebral facet (zygapophyseal) joint, or into the nerves that supply that joint, using imaging guidance…110$190$19.7K
    99439The clinical staff provides services directed by the provider to support and coordinate a patient’s care across multiple disciplines. The patient has two or more chronic conditions that place the…520$30$17.6K
    64636In this add on procedure, the provider destroys the facet joint nerve of a lumbar or sacral spinal segment using neurolytic agents like heat, electric current, or a chemical compound. He makes use of…70$240$17K
    G0483Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but…70$240$15.7K
    64483This procedure is the injection of an anesthetic agent and/or steroid in the form of a transforaminal epidural injection into a single level (either lumbar or sacral).70$200$13.7K

    Showing 1–10 of 30

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 30 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    30 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    G0483254080$240$97.8K
    G04817580130$150$37.8K
    G048011713060$110$25.4K
    64635259040$390$23.5K
    8030792230150$60$20.4K
    64483328050$180$17.7K
    623237112080$130$15K
    9921467,230110$70$14.1K
    644932110060$160$13K
    64633304030$370$12K

    Showing 1–10 of 30

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

    Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

    3 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    80307The lab analyst performs presumptive drug test(s) via instrumented chemistry analyzers to screen for any number of drug classes on a single date.150$50$7.1K
    99213The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…120$50$6.1K
    99204The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the provider…10$120$1.7K

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other Kentucky providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. Kentucky median

    3 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    80307The lab analyst performs presumptive drug test(s) via instrumented chemistry analyzers to screen for any number of drug classes on a single date.2793402,700$40$673.3K
    99213The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…2,6193,3401,020$30$296K
    99204The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the provider…9381,020120$70$62K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Commonwealth Pain Associates, PLLCKYInterventional Pain Medicine Physician$0$42.2M
    Randall OliverINInterventional Pain Medicine Physician$1.5M$0
    Joseph FolzINPain Medicine Physician$814.2K$68K
    Nicolaus WintersINPain Medicine (Anesthesiology) Physician$681.6K$0
    Christopher AndersonKYPain Medicine (Anesthesiology) Physician$650.4K$0
    James JacksonKYPain Medicine (Anesthesiology) Physician$614.1K$0
    Jenna Dismore WrinklesKYPain Medicine (Anesthesiology) Physician$592K$0
    David BosomworthKYInterventional Pain Medicine Physician$566.1K$10.2K
    Timothy BeachamKYPain Medicine (Anesthesiology) Physician$534.2K$0
    Tony OwensSCPain Medicine (Anesthesiology) Physician$509.8K$18.4K

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Saint Joseph Health System, IncKYGeneral Acute Care Hospital$0$67.4M
    Scott-wilson, Inc.KYHome Infusion Therapy Pharmacy$0$24.5M
    Labtox, LLCKYClinical Medical Laboratory$43.5K$21.8M
    Phi Health, LLCKYAir Ambulance$2M$13.2M
    Retina And Vitreous Associates Of Kentucky PLLCKYRetina Specialist (Ophthalmology) Physician$0$13.3M
    Key Assets Kentucky, Inc.KYCommunity/Behavioral Health Agency$0$10.8M
    Grace Place Adult Day Center LLCKYAdult Day Care Clinic/Center$0$9.7M
    Uhs Of Ridge LLCKYPsychiatric Hospital$0$9.1M
    United Seating And Mobility LLCKYDurable Medical Equipment & Medical Supplies$0$8.6M
    Ridge Outpatient Counseling, LLCKYPsychiatric Hospital Unit$0$5.2M

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Kentucky Distribution
    Timothy Mims — 3 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Kentucky
    Medicaid Revenue by Year vs. Kentucky Providers
    0 of 1 year billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Kentucky Distribution
    Timothy Mims — 0 of 3 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Kentucky