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    v1.0.28
    OpenPayerNPI Medicare & MedicaidPaul Sims
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    Paul Sims — Billing Profile & Reimbursement Data

    NPI 1841267465 · Jackson, TN · Anatomic Pathology & Clinical Pathology Physician

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    Paul Sims is a anatomic pathology & clinical pathology physician provider located in Jackson, Tennessee. This profile covers 20 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
    OrganizationPaul Sims
    Address708 W Forest Ave
    CityJackson
    StateTN
    ZIP38301
    TaxonomyAnatomic Pathology & Clinical Pathology Physician
    NPI EnumeratedMarch 2, 2006

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

    Payer SourceTotal Paid
    Medicare$77.6K
    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.

    20 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    88305The physician, typically a pathologist, performs a level IV examination of a surgical pathology specimen. The examination includes accessioning the specimen into the lab, which involves formally…970$30$28K
    88341The lab analyst applies an additional single antibody stain on a slide or slides prepared from the same patient specimen as the initial antibody stain, such as tumor tissue. Then a qualified…690$20$15.9K
    88342The lab analyst applies an initial single antibody stain on a slide or slides prepared from a single patient specimen, such as tumor tissue. Then a qualified provider, typically a pathologist,…260$30$7.4K
    88307The physician, typically a pathologist, performs a level V examination of a surgical pathology specimen. The examination includes accessioning the specimen into the lab, which involves formally…110$60$6.5K
    88112Selective cellular enhancement for cytopathology, such as the method of using a liquid–based slide preparation, uses a liquid–based medium to collect samples and preserve cells which can aid in…150$30$4.4K
    88173The lab analyst performs the technical lab test to analyze a cytopathology specimen from a fine needle aspirate and then interprets and reports the results.40$50$2.1K
    88309The physician, typically a pathologist, performs a level VI examination of a surgical pathology specimen. The examination includes accessioning the specimen into the lab, which involves formally…20$100$1.7K
    G0416Surgical pathology, gross and microscopic examinations, for prostate needle biopsy, any method10$130$1.7K
    88312The lab analyst performs the technical lab steps to stain a specimen with a special stain. This code applies to Group I for microorganisms. A qualified provider, typically a pathologist, interprets…90$20$1.6K
    88344The lab analyst applies a single multiplex antibody stain on a slide or slides prepared from a single patient specimen, such as tumor tissue. Then a qualified provider, typically a pathologist,…50$30$1.5K

    Showing 1–10 of 20

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 20 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    20 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    88305120420500$30$55.1K
    G0416617030$220$22.8K
    8834262310120$50$11.6K
    8834130280210$30$11.2K
    883126020060$50$9.9K
    881124716080$30$7.8K
    883137920070$30$7.5K
    883078022090$70$7.5K
    88344225050$80$6K
    8836181040$40$5.2K

    Showing 1–10 of 20

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Jackson Madison County General HospitalTNGeneral Acute Care Hospital$0$46.6M
    Jackson-madison County General HospitalTNLand Ambulance$5.1M$13M
    West Tennessee Medical Group IncTNInternal Medicine Physician$0$8.2M
    Jackson-madison County General HospitalTNCommunity/Retail Pharmacy$0$7.4M
    Stephen HuddlestonTNRetina Specialist (Ophthalmology) Physician$5.7M$0
    Wt Medical AssociatesTNRural Health Clinic/Center$0$5.5M
    Wt Medical AssociatesTNInternal Medicine Physician$0$4.9M
    Scott SullivanTNRetina Specialist (Ophthalmology) Physician$3M$0
    Wt Medical AssociatesTNRural Health Clinic/Center$0$2.5M
    Salar RafieetaryTNRetina Specialist (Ophthalmology) Physician$2.1M$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Pathways Of Tennessee, Inc.TNClinic/Center$0$30.6M
    Emergency Medical Care Facilities PCTNEmergency Medicine Physician$0$19.7M
    A Plus Care Solutions IncorporatedTNIn Home Supportive Care Agency$0$18.4M
    Mid-south Perinatal Associates PCTNMaternal & Fetal Medicine Physician$0$11.6M
    Wt University Medical Associates IncTNFamily Medicine Physician$0$7.5M
    Shavetta ConnerTNPublic Health & General Preventive Medicine Physician$8.1K$4.9M
    West Tennessee Healthcare Hospitalists IncTNHospitalist Physician$0$4.3M
    Home Medical Products, Inc.TNOxygen Equipment & Supplies (DME)$0$3.6M
    Pathways Of Tennessee, Inc.TNPsychiatric Hospital$0$3.3M
    William PriesterTNOphthalmology Physician$3.2M$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.

    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
    Paul Sims — 0 of 20 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Tennessee