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    v1.0.28
    OpenPayerNPI Medicare & MedicaidHi Sim
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    Hi Sim — Billing Profile & Reimbursement Data

    NPI 1659320505 · Havre De Grace, MD · Internal Medicine Physician

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    Hi Sim is a internal medicine physician provider located in Havre De Grace, Maryland. This profile covers 31 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
    OrganizationHi Sim
    Address251 Lewis Lane
    CityHavre De Grace
    StateMD
    ZIP21078
    TaxonomyInternal Medicine Physician
    NPI EnumeratedMay 9, 2006

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

    Payer SourceTotal Paid
    Medicare$321.3K
    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.

    31 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…1,300$80$101K
    99307The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making or the…1,220$30$38.9K
    99308The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a low level of medical decision making and/or the provider…540$60$32.7K
    G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit240$140$32.5K
    99497The provider discusses and shares planning with a patient, his family, or an individual representing the patient, regarding the future health care needs of the patient. Use this code for the first 30…210$80$18K
    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$14.6K
    99306The provider sees a patient for an initial nursing facility care visit involving evaluation and management (E/M). The visit involves high medical decision making, and/or the provider spends at least…90$150$13.9K
    99496The provider manages the care of a patient during the transition to home care after discharge from a healthcare facility. The patient’s care requires high–level medical decision making, contact…40$230$10.2K
    90694This code represents a vaccine product administered into the muscle to protect against four strains of influenza (flu). It is an inactivated, adjuvanted, preservative–free vaccine given as a 0.5 mL…120$80$9K
    99215The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…80$110$8.4K

    Showing 1–10 of 31

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 31 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    31 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    99309598760340$80$48.5K
    99308213690220$60$30.5K
    9921427010,270150$90$24.1K
    G04392892,32090$130$16K
    9930615239060$140$16K
    992132,1469,280100$60$12.5K
    992151,3314,07050$120$10.9K
    906771101,39020$280$8.6K
    906943681,29060$70$7.7K
    994979585050$70$6.1K

    Showing 1–10 of 31

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Upper Bay Counseling And Support Services, IncMDMental Health Clinic/Center (Including Community Mental Health Center)$0$7.5M
    Upper Bay Counseling And Support Services, IncMDMental Health Clinic/Center (Including Community Mental Health Center)$0$4.5M
    Pdom Havre De GraceMDDentist$0$4.3M
    Hyon SchneiderMDPain Medicine (Physical Medicine & Rehabilitation) Physician$511.1K$59K
    Nicole BrightMDDermatology Physician$477.1K$0
    Jonathan SeidenbergMDOphthalmology Physician$473.4K$0
    Innovative Surgery Center, LLCMDAmbulatory Surgical Clinic/Center$440.7K$31.1K
    Eugene ProtzkoMDOphthalmology Physician$303.9K$0
    Benjamin LeeMDInternal Medicine Physician$294.4K$0
    Michael PrestiMDPodiatrist$284.8K$0

    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.

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    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Maryland Distribution
    Hi Sim — 2 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Maryland