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Treatment Tracker

Treatment Tracker » Idaho » Coeur d alene

William F. Sims MD

850 w ironwood dr, Coeur d alene, Idaho, 83814 | (208) 664-2175

How This Provider Compares

This Provider

Avg in State & Specialty

Providers in this state and specialty were reimbursed, on average, $260 per patient in 2012.
They performed about 4 services per patient. Here’s how this provider compares.
Number of
Patients
317
Rank: 23rd
out of 120 providers in this state & specialty
Services
Performed
2,451
Rank: 12th
out of 120 providers in this state & specialty
Avg Services
Per Patient
7.7 This Provider is in the top 10%
Avg 4.4
Total Paid
by Medicare
$89.2K
Rank: 27th
out of 120 providers in this state & specialty
Avg Paid
Per Patient
$281 This Provider
Avg $260

Office Visits

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Top Billing

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Medicare reimburses office visits using a five-point scale, with five being the most intensive and costly. The chart below shows what percentage of this provider’s office visits were reimbursed at each level. A higher than average proportion of costly visits is not necessarily an indication of a problem, but it may be worth asking about.

Hover over each slice to see percentage breakdown.

William F. Sims
Average for Orthopedic Surgery Providers in Idaho

Who Patients See Before and After This Provider

Providers often refer their patients to a small network of other providers and organizations. Here’s who patients saw the most patients within 30 days before or after this provider, from Jan. 2012 to June 2013.

Individuals

LEONARD GUTH

KEITH HEWEL

ALBERT MARTINEZ

DAVID MOODY

RANDON OPP

Organizations

KOOTENAI MEDICAL CENTER

PATHOLOGY ASSOCIATES ME...

Patients saw before

William F. Sims

Patients saw after

Individuals

DAVID MOODY

KEITH HEWEL

CARL HANSON

LEONARD GUTH

NICOLE BURBANK

Organizations

KOOTENAI MEDICAL CENTER

PATHOLOGY ASSOCIATES ME...

This Provider's Services

This provider performed 20 different services in 2012
CATEGORY
Description of Service
Times Performed (or Units) This Service's Rank Patients Unique Visits
Per Patient
Billed to Medicare Payments from Medicare
DRUGS

Hyaluronan or derivative (synvisc or synvisc-one), for in... +

Hyaluronan or derivative (synvisc or synvisc-one), for intra-articular injection, 1 mg ×

Service Code: J7325
Performed in an office
1,008
times performed,
41% of his services

1st 1st

most performed service for this provider most performed service in this state & specialty

18
patients got this service, 6% of his patients
1.2
average number of visits a patient made for this service
(Peers: 1.3)
$16,128an average of $16 per time performed $9,072
an average of $9 per time performed
EVALUATION AND MANAGEMENT

Established patient office or other outpatient visit, typ... +

Established patient office or other outpatient visit, typically 10 minutes ×

Service Code: 99212
Performed in an office
250
times performed,
10% of his services

2nd 5th

most performed service for this provider most performed service in this state & specialty

169
patients got this service, 53% of his patients
1.5
average number of visits a patient made for this service
(Peers: 1.5)
$23,750an average of $95 per time performed $7,500
an average of $30 per time performed
EVALUATION AND MANAGEMENT

Established patient office or other outpatient visit, typ... +

Established patient office or other outpatient visit, typically 15 minutes ×

Service Code: 99213
Performed in an office
224
times performed,
9% of his services

3rd 3rd

most performed service for this provider most performed service in this state & specialty

160
patients got this service, 50% of his patients
1.4
average number of visits a patient made for this service
(Peers: 1.5)
$35,840an average of $160 per time performed $10,976
an average of $49 per time performed
MUSCULOSKELETAL SYSTEM

Aspiration and/or injection of large joint or joint capsule +

Aspiration and/or injection of large joint or joint capsule ×

Service Code: 20610
Performed in an office
142
times performed,
6% of his services

4th 4th

most performed service for this provider most performed service in this state & specialty

109
patients got this service, 34% of his patients
1.3
average number of visits a patient made for this service
(Peers: 1.4)
$28,400an average of $200 per time performed $6,958
an average of $49 per time performed
DRUGS

Injection, triamcinolone acetonide, not otherwise specif... +

Injection, triamcinolone acetonide, not otherwise specified, 10 mg ×

Service Code: J3301
Performed in an office
126
times performed,
5% of his services

5th 2nd

most performed service for this provider most performed service in this state & specialty

103
patients got this service, 32% of his patients
1.2
average number of visits a patient made for this service
(Peers: 1.3)
$1,260an average of $10 per time performed $126
an average of $1 per time performed
EVALUATION AND MANAGEMENT

New patient office or other outpatient visit, typically 3... +

New patient office or other outpatient visit, typically 30 minutes ×

Service Code: 99203
Performed in an office
123
times performed,
5% of his services

6th 6th

most performed service for this provider most performed service in this state & specialty

123
patients got this service, 39% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$29,028an average of $236 per time performed $8,979
an average of $73 per time performed
RADIOLOGY

X-ray of knee, 1 or 2 views

Service Code: 73560
Performed in an office
93
times performed,
4% of his services

7th 10th

most performed service for this provider most performed service in this state & specialty

65
patients got this service, 21% of his patients
1.4
average number of visits a patient made for this service
(Peers: 1.2)
$8,370an average of $90 per time performed $1,953
an average of $21 per time performed
MEDICINE

Therapeutic exercise to develop strength, endurance, rang... +

Therapeutic exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes ×

Service Code: 97110
Performed in an office
74
times performed,
3% of his services

8th Alert

most performed service for this provider 5 or fewer providers in this specialty in ID perform this service

14
patients got this service, 4% of his patients
3.8
average number of visits a patient made for this service
$2,960an average of $40 per time performed $1,628
an average of $22 per time performed
MEDICINE

Manual (physical) therapy techniques to 1 or more regions... +

Manual (physical) therapy techniques to 1 or more regions, each 15 minutes ×

Service Code: 97140
Performed in an office
70
times performed,
3% of his services

9th Alert

most performed service for this provider 5 or fewer providers in this specialty in ID perform this service

12
patients got this service, 4% of his patients
3.8
average number of visits a patient made for this service
$3,150an average of $45 per time performed $1,400
an average of $20 per time performed
RADIOLOGY

X-ray of knee, 3 views

Service Code: 73562
Performed in an office
68
times performed,
3% of his services

10th 13th

most performed service for this provider most performed service in this state & specialty

65
patients got this service, 21% of his patients
1
average number of visits a patient made for this service
(Peers: 1.2)
$7,140an average of $105 per time performed $1,768
an average of $26 per time performed
RADIOLOGY

X-ray of shoulder, minimum of 2 views

Service Code: 73030
Performed in an office
65
times performed,
3% of his services

11th 8th

most performed service for this provider most performed service in this state & specialty

58
patients got this service, 18% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.2)
$8,775an average of $135 per time performed $1,365
an average of $21 per time performed
RADIOLOGY

X-ray of ribs of one side of body, minimum of 2 views

Service Code: 73510
Performed in an office
54
times performed,
2% of his services

12th 11th

most performed service for this provider most performed service in this state & specialty

36
patients got this service, 11% of his patients
1.5
average number of visits a patient made for this service
(Peers: 1.3)
$5,400an average of $100 per time performed $1,134
an average of $21 per time performed
MEDICINE

Therapeutic activities to improve function, with one-on-o... +

Therapeutic activities to improve function, with one-on-one contact between patient and provider, each 15 minutes ×

Service Code: 97530
Performed in an office
41
times performed,
2% of his services

13th Alert

most performed service for this provider 5 or fewer providers in this specialty in ID perform this service

13
patients got this service, 4% of his patients
2.4
average number of visits a patient made for this service
$1,640an average of $40 per time performed $984
an average of $24 per time performed
MUSCULOSKELETAL SYSTEM

Repair of knee joint

Service Code: 27447
Performed in a facility
21
times performed,
0.86% of his services

14th 15th

most performed service for this provider most performed service in this state & specialty

21
patients got this service, 7% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$110,691an average of $5,271 per time performed $22,470
an average of $1,070 per time performed
RADIOLOGY

X-ray of elbow, 2 views

Service Code: 73070
Performed in an office
18
times performed,
0.73% of his services

15th Alert

most performed service for this provider 5 or fewer providers in this specialty in ID perform this service

14
patients got this service, 4% of his patients
1.2
average number of visits a patient made for this service
$1,800an average of $100 per time performed $342
an average of $19 per time performed
RADIOLOGY

X-ray of both knees, standing, front to back view

Service Code: 73565
Performed in an office
17
times performed,
0.69% of his services

16th 26th

most performed service for this provider most performed service in this state & specialty

17
patients got this service, 5% of his patients
1
average number of visits a patient made for this service
(Peers: 1.1)
$1,530an average of $90 per time performed $442
an average of $26 per time performed
MEDICINE

Physical therapy evaluation

Service Code: 97001
Performed in an office
17
times performed,
0.69% of his services

17th Alert

most performed service for this provider 5 or fewer providers in this specialty in ID perform this service

17
patients got this service, 5% of his patients
1
average number of visits a patient made for this service
$2,210an average of $130 per time performed $918
an average of $54 per time performed
EVALUATION AND MANAGEMENT

Initial hospital inpatient care, typically 70 minutes per... +

Initial hospital inpatient care, typically 70 minutes per day ×

Service Code: 99223
Performed in a facility
14
times performed,
0.57% of his services

18th 45th

most performed service for this provider most performed service in this state & specialty

14
patients got this service, 4% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$6,216an average of $444 per time performed $2,086
an average of $149 per time performed
MUSCULOSKELETAL SYSTEM

Repair of torn tendons of shoulder, open procedure

Service Code: 23412
Performed in a facility
13
times performed,
0.53% of his services

19th Alert

most performed service for this provider 5 or fewer providers in this specialty in ID perform this service

13
patients got this service, 4% of his patients
1
average number of visits a patient made for this service
$38,415an average of $2,955 per time performed $7,839
an average of $603 per time performed
EVALUATION AND MANAGEMENT

New patient office or other outpatient visit, typically 2... +

New patient office or other outpatient visit, typically 20 minutes ×

Service Code: 99202
Performed in an office
13
times performed,
0.53% of his services

20th 25th

most performed service for this provider most performed service in this state & specialty

13
patients got this service, 4% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$2,171an average of $167 per time performed $702
an average of $54 per time performed

Sources: Centers for Medicare and Medicaid Services, National Plan and Provider Enumeration System, American Medical Association

Services that begin with a letter come from CMS. All other codes and descriptions of the medical procedures are from the Current Procedural Terminology (CPT®) code set, copyright 2013 American Medical Association. All rights reserved. Where practical, AMA’s consumer friendly translation of the CPT descriptor was used. ProPublica has received permission from the AMA to use these codes on this site.

Notes: This provider has a self-reported specialty of "Orthopaedic Surgery." In some cases the self-reported specialty may differ from the specialty listed above, which comes from Medicare. Medicare redacted this data for any services provided to fewer than 11 patients.

Incorrect Info? If you are a provider and you believe your address is incorrect, check the listing you created on the National Provider Identifier registry. If you change your listing, send a note to checkup@propublica.org and we will update your information. If you have other questions about this data, send a note to checkup@propublica.org. Here's a link to Medicare's data on this provider.


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