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    v1.0.28
    OpenPayerNPI Medicare & MedicaidMichael Sim
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    Michael Sim — Billing Profile & Reimbursement Data

    NPI 1730408493 · Indianapolis, IN · Otolaryngology Physician

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    Michael Sim is a otolaryngology physician provider located in Indianapolis, Indiana. This profile covers 11 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
    OrganizationMichael Sim
    Address550 University Blvd Ste 3170
    CityIndianapolis
    StateIN
    ZIP46202
    TaxonomyOtolaryngology Physician
    NPI EnumeratedMay 20, 2010

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

    Payer SourceTotal Paid
    Medicare$89.7K
    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.

    11 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    38724The provider excises the lymph nodes and any diseased soft tissue he finds in the cervical area. He takes care to dissect free and preserve the spinal accessory nerve, the jugular vein, and the…40$950$38.1K
    42890During this procedure, the provider removes part of the pharyngeal wall, which can include removal of part of the thyroid ala, hyoid bone, and wall of the piriform fossa.20$680$11.5K
    99205The provider sees a new 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 provider…90$130$11K
    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…110$70$7.2K
    42415The provider excises the lateral lobe of a parotid tumor or the parotid glad with dissection and preservation of the facial nerve.10$590$6.4K
    31610In this procedure, the provider creates a permanent opening through skin into the trachea by using skin flaps. The aim is to help patients with chronic conditions that cause breathing difficulties.10$400$4.4K
    31575The provider uses a flexible laryngoscope to look inside the larynx, or voice box, to detect the presence of any abnormalities. This code applies to diagnostic services.80$50$3.9K
    37600In this procedure, the provider incises the neck to locate the external carotid artery and ligates it with a suture or clip. A provider performs this procedure most commonly for a carotid artery…10$270$3.5K
    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…20$110$1.8K
    42826The provider performs an initial, recurrent, or secondary tonsillectomy procedure in a patient who is 12 years of age or older.10$90$1K

    Showing 1–10 of 11

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 11 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    11 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    3872411020$940$20.7K
    992145,47210,540110$80$15.5K
    4241511010$1,270$14K
    4289011020$670$11.5K
    992139,45510,82080$50$7.6K
    992152,1362,73030$110$7.1K
    99205821,17030$140$5.1K
    3161011010$400$4.4K
    315752115040$80$4.2K
    3760011010$270$3.5K

    Showing 1–10 of 11

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Benjamin AnthonyINOtolaryngology Physician$124.6K$0
    Susan CordesCAOtolaryngology Physician$101.4K$0
    Joseph BriganceALOtolaryngology Physician$67.3K$0
    Elisa IllingINOtolaryngology Physician$60.3K$0
    Taha ShipchandlerINOtolaryngology Physician$41.5K$0
    Michael MooreINOtolaryngology Physician$35.2K$0
    Charles YatesINOtology & Neurotology Physician$19.6K$0
    Jonathan TingINOtolaryngology Physician$17.9K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    The Health And Hospital Corporation Of Marion CountyINGeneral Acute Care Hospital$0$231.6M
    Indiana University Health Care Associates, IncINGeneral Practice Physician$0$125.4M
    Indiana University Health IncINGeneral Acute Care Hospital$0$111.5M
    University Pediatric Associates, Inc.INPediatrics Physician$0$98.3M
    Indiana University Health IncINChildren's Hospital$0$75.6M
    University Family Physicians, Inc.INFamily Medicine Physician$0$65.3M
    Indiana University Radiology Associates, Inc.INDiagnostic Radiology Physician$0$47.8M
    The Health And Hospital Corporation Of Marion CountyINMental Health Clinic/Center (Including Community Mental Health Center)$0$46.9M
    Icem-wishard LLCINEmergency Medicine Physician$0$34.6M
    The Health And Hospital Corporation Of Marion CountyINNurse Practitioner$0$30.1M

    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. Indiana Distribution
    Michael Sim — 1 of 11 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Indiana