JONATHAN SIMON, M.D.
Internal Medicine Physician · ANSONIA, CT
Individual Active NPI 1073565511
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 215 | 379 | $273,605 | $50,127 | $40,578 |
| 2023 | 228 | 356 | $284,705 | $54,270 | $43,641 |
| 2022 | 210 | 355 | $237,029 | $58,734 | $45,889 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 45380 | Biopsy of large bowel using a flexible endoscope | 55 | $125 | $105 |
| 43239 | Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 46 | $87 | $68 |
| 45385 | Removal of polyps or growths of large bowel using an endoscope with mechanical snare | 38 | $270 | $221 |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's | 33 | $18 | $14 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 31 | $99 | $74 |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 29 | $139 | $110 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 21 | $139 | $106 |
| 45378 | Diagnostic exam of large bowel using a flexible endoscope | 17 | $191 | $151 |
| 91065 | Measurement of hydrogen in breath to test for stomach and bowel symptoms | 14 | $82 | $66 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 13 | $181 | $135 |
| 99231 | Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes | 12 | $53 | $42 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | ✓ | 46849 | CT |
| Internal Medicine Physician | 207R00000X | 234884 | NY | |
| Gastroenterology Physician | 207RG0100X | 234884 | NY | |
| Gastroenterology Physician | 207RG0100X | 46849 | CT |
Medicare eligibility
- Part B
- Yes
- DME
- Yes
- Home health
- Yes
- Power mobility
- Yes
- Hospice
- Yes
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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.