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    OpenPayerNPI Medicare & MedicaidBrandon Sims
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    Brandon Sims — Billing Profile & Reimbursement Data

    NPI 1568699858 · Jackson, TN · Nurse Practitioner

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    Brandon Sims is a nurse practitioner provider located in Jackson, Tennessee. This profile covers 21 Medicare and 0 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationBrandon Sims
    Address2075 Pleasant Plains Ext Rd
    CityJackson
    StateTN
    ZIP38305
    TaxonomyNurse Practitioner
    NPI EnumeratedJune 15, 2009

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

    Payer SourceTotal Paid
    Medicare$147.9K
    Medicaid$0

    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.

    21 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…1,390$70$98.9K
    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…270$50$13.3K
    99441N/A390$30$12K
    80305The lab analyst performs presumptive drug test(s) by any method that the analyst can read by direct optical observation only, without instrument assistance, to screen for any number of drug classes…330$10$4K
    20611In this procedure, the provider inserts a needle through the skin of a patient and into a major joint or bursa, typically the shoulder, hip, knee, or subacromial bursa, and then uses the syringe…60$60$3.1K
    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…30$100$2.9K
    62368The provider analyzes performance of an implantable pump reprograms the pump but does not refill the pump. Intrathecal or epidural pumps may be used to deliver pain medications or chemotherapy to…80$30$2.2K
    72100The technician takes 2 or 3 views of the vertebrae in the lumbar region which is the lower part of the spine and the sacrum, the area that connects the spine to the pelvis. Lumbosacral spine X–rays…90$20$2.1K
    J3301Injection, triamcinolone acetonide, not otherwise specified, 10 mg1,490$1$1.5K
    99442N/A30$50$1.4K

    Showing 1–10 of 21

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 21 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    21 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    992149911,370120$80$16.6K
    992131,74311,03080$50$8K
    206119821050$70$6.3K
    206109221,00070$40$5.5K
    992042,9725,49030$100$5.3K
    994429326020$50$1.9K
    7356265279040$20$1.6K
    99441418020$30$1.3K
    735027371,02040$20$1.3K
    205522914030$30$1.2K

    Showing 1–10 of 21

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    West Tennessee Bone And Joint Clinic PCTNSpecialist$0$2.1M
    Shane DunawayTNNurse Practitioner$641.4K$0
    Eric HombergTNPain Medicine (Anesthesiology) Physician$515K$0
    Kelly PucekTNOrthopaedic Surgery Physician$468.8K$0
    William SeelyTNInterventional Pain Medicine Physician$409K$0
    Peter GardnerTNGeneral Practice Physician$376.4K$14.8K
    David SickleTNSports Medicine (Orthopaedic Surgery) Physician$294K$10K
    Jason HutchisonTNOrthopaedic Surgery Physician$243.9K$25.9K
    William RagonTNOrthopaedic Surgery Physician$227.7K$0
    Leigh BrandeberryTNAcute Care Nurse Practitioner$219K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Staffco Of Southwest Tn, LLC. Dba At Home Healthcare Of Southwest TnTNIn Home Supportive Care Agency$0$32.3M
    Madison Haywood County Developmental Services, IncTNDevelopmentally Disabled Services Day Training Agency$0$23M
    Loving Arms, LLCTNHome Health Agency$0$13.3M
    Impact Healthcare, PLLCTNAddiction Medicine (Family Medicine) Physician$0$10.1M
    Encare, LLC.TNIn Home Supportive Care Agency$0$9.1M
    George M Short Dds Ms PCTNPediatric Dentistry$0$8.7M
    Jackson Clinic PATNInternal Medicine Physician$0$7.9M
    Family Care Walk In Clinic, Inc.TNFamily Medicine Physician$0$6.2M
    Jackson Radiology Associates PATNDiagnostic Radiology Physician$0$4.4M
    Therapy & Learning Center IncTNRehabilitation Clinic/Center$0$4.2M

    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. Tennessee Distribution
    Brandon Sims — 4 of 19 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Tennessee