Physician

Michael Sim, M.D.

According to 2025 Medicare claims, Michael Sim, M.D. (NPI: 1730408493) practices otolaryngology in the South Bend-Mishawaka, IN-MI market, with the plurality of this provider's patient population coming from St. Joseph, IN. This provider's primary affiliated billing organization is IU HEALTH MEDICAL GROUP, LLC (NPI: 1326893777; TIN: 992145793) and primary practice location at 46202-5149. Sim is affiliated with the Indiana University Health ACO, Inc. (ACO ID: D0034), participating under the REACH model.

Sim's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 193 traditional Medicare patients, billed 589 HCPCS/CPT codes, and received $169,072 in Medicare payments. The top billing code was 38724 (Removal of lymph nodes, muscle, and tissue of neck). Part D data shows 41 prescription claims across 32 beneficiaries totaling $803 in drug costs. DME data shows 177 claims. Open Payments data shows 3 records totaling $68. 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 up and down with repeated peaks and valleys, starting at $29,549 and ending at $169,072. Concurrently, Part D prescription costs have moved up and down with repeated peaks and valleys, starting at $1,059 and ending at $803. For DME billing, reported payments moved up and down with repeated peaks and valleys, starting at $1,472 and ending at $2,370.

Part B Carrier Billing Trend

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

Year	Patients	Clm Lines	Payment
2015	N/R	N/R	N/R
2016	51	115	$29,549
2017	141	410	$121,825
2018	192	622	$182,789
2019	223	693	$175,052
2020	180	561	$178,964
2021	174	534	$177,011
2022	190	545	$140,165
2023	193	596	$192,480
2024	193	589	$169,072

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	15	22	$1,059
2016	N/R	N/R	N/R
2017	22	59	$1,916
2018	42	105	$3,651
2019	37	90	$2,329
2020	50	109	$2,805
2021	44	104	$2,338
2022	47	88	$2,186
2023	37	59	$1,366
2024	32	41	$803

DME Billing Trend

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

Year	Patients	Claims	Payment
2015	N/R	N/R	N/R
2016	N/R	N/R	N/R
2017	N/R	26	$1,980
2018	N/R	116	$11,596
2019	13	212	$19,811
2020	16	229	$26,587
2021	74	342	$41,675
2022	61	318	$48,440
2023	66	322	$62,376
2024	12	177	$30,823

* / # = 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
38724	Removal of lymph nodes, muscle, and tissue of neck	41	41	$989
99205	New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	80	80	$133
99215	Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	16	17	$102
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	95	131	$68
31575	Diagnostic exam of voice box using a flexible endoscope	77	96	$48

Top 5 Part D drugs in 2024

By total drug costs.

Part D summary data is connected for 2024, but public drug-level costs are not available, so a Top 5 by total drug costs cannot be shown.

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
A7507	Filter holder and integrated filter without adhesive, for use in a tracheostoma heat and moisture exchange system, each	N	12	30	$9,677
A7508	Housing and integrated adhesive, for use in a tracheostoma heat and moisture exchange system and/or with a tracheostoma valve, each	N	N/R	11	$6,085
B4150	Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit	N	N/R	26	$5,928
B4034	Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape	N	N/R	37	$3,732
B4152	Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit	N	N/R	11	$2,898

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	3	$68	DePuy Synthes Sales 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 Michael Sim, M.D.?

Tedicare shows public-source Medicare data for Michael Sim, M.D. (NPI 1730408493), 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 Michael Sim, M.D. have ACO affiliation data?

Michael Sim, M.D. is shown with ACO affiliation data for Indiana University Health ACO, Inc. (REACH, ACO ID D0034).

What billing organization is linked to Michael Sim, M.D.?

Michael Sim, M.D. is linked to IU HEALTH MEDICAL GROUP, LLC (billing NPI 1326893777) in the available physician profile data.

Does Michael Sim, M.D. have Open Payments data?

Michael Sim, M.D. has 3 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.