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 Alabama for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Alabama 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. Alabama (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.

Samantha Sims (NPI 1750713558)

Field	Value
Entity Type	Individual
Organization	Samantha Sims
Address	350 Sun Temple Dr
City	Madison
State	AL
ZIP	35758
Taxonomy	Clinical Social Worker
NPI Enumerated	August 2, 2013

Payer Source	Total Paid
Medicare	$13.5K
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
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	80	$100	$7.5K
90832	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	80	$40	$3.5K
90837	In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…	20	$80	$1.8K
90834	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	10	$60	$740

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. Alabama Distribution

Samantha Sims — 0 of 4 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Alabama

Full comparison — all codes billed, vs. state median

4 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
90837	110	110	110	$90	$11.8K
90832	31	60	90	$40	$7.1K
90834	31	30	50	$60	$4.8K
90791	7	70	30	$110	$4.5K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Integrated Behavioral Health, Inc.	AL	Psychiatry Physician	$0	$4.1M
Russellville Hospital Inc	AL	Rural Health Clinic/Center	$0	$1.8M
Russellville Hospital Inc.	AL	Rural Acute Care Hospital	$0	$1.3M
Russellville Hospital Inc	AL	Rural Health Clinic/Center	$0	$1.1M
Rex Williams	MS	Pain Medicine (Anesthesiology) Physician	$368.4K	$0
Douglas Tucker	MS	Anesthesiology Physician	$352K	$0
Ashley Hanback	AL	Family Nurse Practitioner	$184.2K	$0
Amanda Dodd	AL	Nurse Practitioner	$184K	$0
Ruthann Allison	AL	Psychiatric/Mental Health Nurse Practitioner	$177K	$0
Jeffrey Saylor	AL	Family Medicine Physician	$154K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Good Samaritan Hospice Of Madison Inc.	AL	Community Based Hospice Care Agency	$0	$5.2M
Cornerstone Pediatrics, P.C	AL	Pediatrics Physician	$0	$3.9M
Brightstarts Pediatrics PC	AL	Clinic/Center	$0	$3.6M
Singing River Dentistry Treehouse, LLC	AL	Pediatric Dentistry	$0	$2.2M
North Alabama Oral And Facial Surgery LLC	AL	Oral and Maxillofacial Surgery (Dentist)	$0	$1.8M
Joseph Dai	AL	Dermatology Physician	$1.6M	$0
Madison Valley Pediatrics	AL	Pediatrics Physician	$0	$1.4M
Angelo Mancuso	AL	Procedural Dermatology Physician	$1.3M	$0
Vernon Forrester	AL	MOHS-Micrographic Surgery Physician	$1.3M	$0
Sarah M. Withrow, Dmd LLC	AL	Dentist	$0	$1.2M

Samantha Sims — Billing Profile & Reimbursement Data

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Samantha Sims — 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