Dr. Andrew Simms, MD
10060 Regency Cir, Omaha, NE 68114 • +1-249-555-1690
Medical Education: Accredited U.S. Medical School (Class of 2004)
What This Doctor Actually Performs: CMS Medicare Utilization & Omaha Percentiles
NPI #1124518030 • CBSA Regional • Infectious Disease
Dr. Andrew Simms, MD (NPI #1124518030) practices Infectious Disease in Omaha, NE (68114) with sub-specialty concentration in 18 Active CMS HCPCS Codes, recording 817 annual CMS services across 251 distinct beneficiaries—placing this practice as a mid-cohort balanced caseload (37.5th Omaha percentile) (-0.46σ vs NE state mean, 30.77th statewide percentile).
Fee-schedule auditing of NPI 1124518030 highlights 368 annual claims for 99214 (37.5th Omaha percentile; $146–$201 self-pay corridor) plus 212 encounters under 99213 and 106 under 93000.
Self-pay new patient consultations with Dr. Simms (CPT 99204 GPCI-adjusted benchmark) estimate around $209.00 (community reported average: $209.00) with in-person clinic visits only, 19-minute average reception wait, and a 4.74/5 modern protocol openness score across 3 patient logs.
NPI registry verification (#1124518030) confirms Dr. Andrew Simms's MD standing serving CBSA 68114 with a 4.72/5 patient scorecard.
Compared against Omaha, NE Infectious Disease peers
817 annual services across 251 beneficiaries
Standard deviations from NE Infectious Disease mean utilization
Top Billed HCPCS/CPT Procedures & GPCI Self-Pay Cash Benchmarks
| HCPCS | Clinical Procedure Description | Annual Volume | Local Pct | Est. Cash Range |
|---|---|---|---|---|
| 99214 | Moderate-to-High Complexity Internal Medicine Follow-Up | 368 | 37.5th | $146 – $201 |
| 99213 | Established Preventive & Chronic Care Visit | 212 | 37.5th | $112 – $154 |
| 93000 | In-Office 12-Lead Resting Electrocardiogram | 106 | 36.5th | $53 – $73 |
| G0439 | Annual Preventive Wellness & Cardiometabolic Risk Assessment | 82 | 32.5th | $172 – $236 |
| 99204 | Comprehensive New Patient Internal Medicine Diagnostic Visit | 49 | 39.5th | $204 – $279 |
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Dr. Andrew Simms, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Simms National Provider Identifier | NPI #1124518030 (MD) | CMS NPPES Registry (68114) |
| Dr. Simms Omaha CMS Volume Rank | 37.50th Pct (817 CMS svcs; Z -0.458σ) | CMS Medicare Part B (NE Infectious Disease) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Omaha, NE) |
| Waiting-Room Wait Time & Cash Friendliness | $209.00 avg paid • 19 min lobby wait | 3 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.79/5 Listening • 4.74/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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