ALFRED SIMENTAL, M.D.
Otolaryngology Physician · LOMA LINDA, CA
Individual Active NPI 1265464077
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 213 | 326 | $354,945 | $115,678 | $89,422 |
| 2023 | 237 | 418 | $420,229 | $137,965 | $106,848 |
| 2022 | 200 | 304 | $298,579 | $97,982 | $75,897 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 61 | $91 | $58 |
| 99203 | New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more | 57 | $113 | $85 |
| 60500 | Removal or exploration of parathyroid glands | 45 | $963 | $755 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 38 | $171 | $129 |
| 60220 | Removal of thyroid lobe on side of neck | 28 | $703 | $552 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 25 | $131 | $101 |
| 31575 | Diagnostic exam of voice box using a flexible endoscope | 16 | $135 | $101 |
| 69210 | Removal of impacted ear wax | 14 | $50 | $31 |
| 60240 | Removal of thyroid | 11 | $842 | $671 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | ✓ | A60980 | CA |
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.