Medicare Billing by Year
| Year | Procedures | Beneficiaries | Services | Submitted | Medicare Paid |
|---|---|---|---|---|---|
| 2023 | 5 | 146 | 159 | $38,171 | $2,189 |
| 2021 | 32 | 2,514 | 2,678 | $293,476 | $67,619 |
| 2020 | 57 | 5,619 | 6,034 | $679,264 | $166,698 |
All Medicare Procedures & Services
104 procedure records from CMS Medicare Utilization — Page 1 of 5
| HCPCS | Description | Setting | Year | Patients | Services | Charges | Medicare Paid | Ratio |
|---|---|---|---|---|---|---|---|---|
| 71045 | X-ray of chest, 1 view | Facility | 2023 | 90 | 100 | $13,900 | $688.00 | 4.9% |
| 71250 | Ct scan of chest without contrast | Facility | 2023 | 15 | 15 | $9,495 | $604.21 | 6.4% |
| 70450 | Ct scan head or brain without contrast | Facility | 2023 | 18 | 18 | $9,072 | $571.14 | 6.3% |
| 76536 | Ultrasound scan of head and neck soft tissue | Facility | 2023 | 12 | 12 | $4,164 | $236.61 | 5.7% |
| 73630 | X-ray of foot, minimum of 3 views | Facility | 2023 | 11 | 14 | $1,540 | $89.18 | 5.8% |
| 77067 | Screening mammography of both breasts | Facility | 2021 | 534 | 534 | $80,634 | $19,578 | 24.3% |
| 77063 | Screening digital tomography of both breasts | Facility | 2021 | 536 | 536 | $64,320 | $15,687 | 24.4% |
| 74177 | Ct scan of abdomen and pelvis with contrast | Facility | 2021 | 63 | 63 | $17,010 | $4,034 | 23.7% |
| 71045 | X-ray of chest, 1 view | Facility | 2021 | 381 | 509 | $18,833 | $3,389 | 18.0% |
| 70450 | Ct scan head or brain | Facility | 2021 | 106 | 110 | $13,970 | $3,337 | 23.9% |
| 74176 | Ct scan of abdomen and pelvis | Facility | 2021 | 48 | 50 | $12,950 | $3,048 | 23.5% |
| 71275 | Ct scan of blood vessels in chest with contrast | Facility | 2021 | 34 | 34 | $9,146 | $2,193 | 24.0% |
| 76642 | Ultrasound of one breast, limited | Facility | 2021 | 86 | 99 | $9,999 | $1,957 | 19.6% |
| 71260 | Diagnostic ct scan of chest with contrast | Facility | 2021 | 41 | 41 | $7,585 | $1,672 | 22.0% |
| 77065 | Diagnostic mammography of one breast | Facility | 2021 | 53 | 55 | $7,480 | $1,384 | 18.5% |
| 71250 | Diagnostic ct scan of chest | Facility | 2021 | 35 | 35 | $5,320 | $1,268 | 23.8% |
| G0279 | Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) | Facility | 2021 | 61 | 63 | $7,434 | $1,183 | 15.9% |
| 72125 | Ct scan of upper spine | Facility | 2021 | 34 | 34 | $5,508 | $1,120 | 20.3% |
| 70498 | Ct scan of neck blood vessels with contrast | Facility | 2021 | 14 | 14 | $3,626 | $933.65 | 25.7% |
| 71046 | X-ray of chest, 2 views | Facility | 2021 | 104 | 105 | $4,620 | $862.54 | 18.7% |
| 70551 | Mri scan brain | Facility | 2021 | 14 | 14 | $3,066 | $792.58 | 25.9% |
| 77080 | Bone density measurement of the core or central skeleton (e.g., hips, pelvis, spine) | Facility | 2021 | 59 | 59 | $1,770 | $569.94 | 32.2% |
| 74246 | X-ray of upper digestive tract with double contrast | Facility | 2021 | 19 | 19 | $1,957 | $555.84 | 28.4% |
| 76775 | Ultrasound behind abdominal cavity, limited | Facility | 2021 | 22 | 22 | $1,870 | $486.11 | 26.0% |
| 78306 | Bone and/or joint imaging, whole body | Facility | 2021 | 14 | 14 | $1,764 | $460.18 | 26.1% |
About Dr. Andrew Simays, M.D
Dr. Andrew Simays, M.D is a Diagnostic Radiology healthcare provider based in Lumberton, North Carolina. This provider has been registered with the National Plan and Provider Enumeration System (NPPES) since 01/18/2006. The National Provider Identifier (NPI) number assigned to this provider is 1447230438.
As a Medicare-enrolled provider, Simays has provided services to 8,279 Medicare beneficiaries, totaling 8,871 services with total Medicare billing of $236,507. Data is available for 3 years (2020–2023), covering 104 distinct procedure/service records.
Practice Information
- Specialty Diagnostic Radiology
- Other Specialties Diagnostic Radiology, Diagnostic Radiology
- Location Lumberton, NC
- Active Since 01/18/2006
- Last Updated 08/27/2019
- Taxonomy Code 2085R0202X
- Entity Type Individual
- NPI Number 1447230438
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Data Sources
Provider data from NPPES. Payment data from CMS Open Payments. Medicare data from CMS Medicare Provider Utilization. All data is public and updated periodically.
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