Physician

Kimberly Nicole Mims, MD

According to 2025 Medicare claims, Kimberly Mims, MD (NPI: 1639359276) practices sleep medicine in the Charlotte-Concord-Gastonia, NC-SC market, with the plurality of this provider's patient population coming from Mecklenburg, NC. This provider's primary affiliated billing organization is CAROLINAS PHYSICIANS NETWORK INC (NPI: 1558702191; TIN: 561667838) and primary practice location at 28211-1365. Mims is affiliated with the Advocate Physician Partners Accountable Care, Inc. (ACO ID: A1033) and Carolinas HealthCare System ACO, LLC (ACO ID: A3675), participating under the MSSP model.

Mims' data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 378 traditional Medicare patients, billed 537 HCPCS/CPT codes, and received $43,144 in Medicare payments. The top billing code was 99214 (Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more). Part D data shows 836 prescription claims across 185 beneficiaries totaling $258,674 in drug costs, led by Sodium Oxybate (Sodium Oxybate). DME data shows 6,651 claims. Open Payments data shows 2 records totaling $196. You can download detailed data with all billing codes (2015-2024). For more recent data, please contact us.

Over the past 10 years, this provider's Medicare Part B carrier billing has moved from a higher plateau to a lower plateau, from $103,949 to $43,144. In contrast, Part D prescription costs have moved sharply higher in recent years, from $14,345 to $258,674. For DME billing, reported payments changed little.

Part B Carrier Billing Trend

Medicare payment trend, with N of patients and claim lines in the table.

Year	Patients	Clm Lines	Payment
2015	634	1,049	$103,949
2016	577	1,016	$100,349
2017	547	945	$84,285
2018	711	1,152	$96,655
2019	590	941	$84,137
2020	523	742	$57,293
2021	519	700	$76,010
2022	462	628	$54,574
2023	423	649	$51,800
2024	378	537	$43,144

Part D Events Trend

Drug cost trend, with N of patients and prescription claims in the table.

Year	Patients	Claims	Drug Cost
2015	105	378	$14,345
2016	119	450	$9,530
2017	119	570	$9,488
2018	201	850	$13,553
2019	181	948	$16,012
2020	171	831	$18,772
2021	150	727	$16,696
2022	143	588	$11,148
2023	167	689	$211,313
2024	185	836	$258,674

DME Billing Trend

Medicare payment trend, with N of patients and DME claim records in the table.

Year	Patients	Claims	Payment
2015	3,078	6,029	$252,977
2016	3,849	8,048	$282,820
2017	3,357	7,759	$204,439
2018	4,180	8,950	$249,504
2019	4,281	9,574	$279,604
2020	4,366	9,010	$290,859
2021	4,004	8,263	$264,932
2022	3,795	8,183	$277,384
2023	3,599	7,873	$284,634
2024	3,035	6,651	$249,952

* / # = suppressed by CMS; 0 = reported zero; N/R = not reported or blank.

Top 5 Part B carrier billing codes in 2024

By total payments.

Code	Description	Patients	Clm Lines	Total Payment
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	283	354	$83
95810	Sleep study in sleep lab (6 years or older)	27	27	$79
99213	Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more	27	27	$57
G0398	Home sleep study test (hst) with type ii portable monitor, unattended; minimum of 7 channels: eeg, eog, emg, ecg/heart rate, airflow, respiratory effort and oxygen saturation	87	87	$26

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Sodium Oxybate	Sodium Oxybate	13	390	$239,690
Gabapentin	Gabapentin	291	17,369	$3,061
Eszopiclone	Eszopiclone	54	1,980	$1,630
Zolpidem Tartrate	Zolpidem Tartrate	131	5,826	$1,050
Quetiapine Fumarate	Quetiapine Fumarate	16	1,330	$490

Top 5 DME services in 2024

By Total Medicare Payment Amount.

HCPCS Code	HCPCS Description	Supplier Rental Indicator	Total Supplier Beneficiaries	Total Supplier Claims	Total Medicare Payment Amount
A7032	Cushion for use on nasal mask interface, replacement only, each	N	189	381	$35,979
A7034	Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap	N	335	697	$35,026
E0601	Continuous positive airway pressure (cpap) device	Y	163	1,000	$30,565
A4604	Tubing with integrated heating element for use with positive airway pressure device	N	375	834	$27,705
A7030	Full face mask used with positive airway pressure device, each	N	148	336	$27,274

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	2	$196	Inspire Medical Systems, Inc.
Research Payments	Reported research-related payment or transfer-of-value amount.	0	$0	N/R
Ownership / Investment Interests	Reported value of ownership or investment interests.	0	$0	N/R

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FAQ

What Medicare data is available for Kimberly Nicole Mims, MD?

Tedicare shows public-source Medicare data for Kimberly Nicole Mims, MD (NPI 1639359276), including provider identity, specialty, market context, Medicare Part B activity, Part D prescribing, DME records, Open Payments where available, billing organization details, and ACO affiliation signals where available. Profile data covers 2015-2024, with current attribution based on 2025 claims where available.

Does Kimberly Nicole Mims, MD have ACO affiliation data?

Kimberly Nicole Mims, MD is shown with ACO affiliation data for Advocate Physician Partners Accountable Care, Inc. (MSSP, ACO ID A1033) and Carolinas HealthCare System ACO, LLC (MSSP, ACO ID A3675).

What billing organization is linked to Kimberly Nicole Mims, MD?

Kimberly Nicole Mims, MD is linked to CAROLINAS PHYSICIANS NETWORK INC (billing NPI 1558702191) in the available physician profile data.

Does Kimberly Nicole Mims, MD have Open Payments data?

Kimberly Nicole Mims, MD has 2 connected Open Payments records in the available 2024 summary data.

Can I download physician-level Medicare data from Tedicare?

Yes. Tedicare provides sample physician export data and paid custom physician data exports for research, planning, outreach, and market analysis. Exports can include physician profile fields, market and specialty context, billing organization details, ACO affiliation signals where available, and Medicare utilization data.