GILBERT SIMONI, M.D., FACG
Gastroenterology Physician · THOUSAND OAKS, CA
Individual Active NPI 1316922958
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 668 | 1,711 | $1,367,717 | $429,964 | $337,467 |
| 2023 | 261 | 1,059 | $872,051 | $302,492 | $237,013 |
| 2022 | 233 | 1,093 | $945,746 | $356,872 | $280,656 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 312 | $131 | $94 |
| 45380 | Biopsy of large bowel using a flexible endoscope | 188 | $99 | $81 |
| 45385 | Removal of polyps or growths of large bowel using an endoscope with mechanical snare | 149 | $243 | $197 |
| 99215 | Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more | 95 | $183 | $132 |
| 43239 | Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 89 | $80 | $65 |
| 43239 | Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 68 | $98 | $79 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 62 | $132 | $93 |
| 43249 | Balloon dilation of esophagus, stomach, and/or upper small bowel using a flexible endoscope, less than 3.0 cm | 58 | $1,098 | $873 |
| 76700 | Complete ultrasound scan of abdomen | 57 | $124 | $99 |
| 76775 | Limited ultrasound scan behind abdominal cavity | 57 | $63 | $50 |
| 45388 | Destruction of polyp or growth of large bowel using a flexible endoscope | 52 | $2,653 | $2,110 |
| 76981 | Ultrasound scan of organ tissue for measuring elasticity | 49 | $112 | $89 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | ✓ | A77140 | CA |
| Internal Medicine Physician | 207R00000X | A77140 | CA | |
| Gastroenterology Physician | 207RG0100X | MA74330 | NJ | |
| Hepatology Physician | 207RI0008X | A77140 | 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.