MICHAEL SIMON, DO
Emergency Medical Services (Emergency Medicine) Physician · DAYTONA BEACH, FL
Individual Active NPI 1205333879
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 644 | 693 | $693,243 | $117,683 | $92,996 |
| 2023 | 1,246 | 1,366 | $1,502,805 | $249,104 | $205,227 |
| 2022 | 582 | 628 | $647,107 | $115,229 | $101,455 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 99285 | Emergency department visit with high level of medical decision making | 404 | $194 | $153 |
| 99284 | Emergency department visit with moderate level of medical decision making | 123 | $130 | $103 |
| 99291 | Critical care, first 30-74 minutes | 46 | $235 | $188 |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 26 | $139 | $111 |
| 99283 | Emergency department visit with low level of medical decision making | 25 | $76 | $58 |
| 99221 | Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes | 16 | $89 | $71 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Emergency Medical Services (Emergency Medicine) Physician | 207PE0004X | ✓ | 317540 | NY |
| Emergency Medical Services (Emergency Medicine) Physician | 207PE0004X | OS20954 | FL |
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.