MARC SIMON, MD
Advanced Heart Failure and Transplant Cardiology Physician · SAN FRANCISCO, CA
Individual Active NPI 1346215449
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 151 | 1,009 | $256,626 | $50,705 | $39,280 |
| 2023 | 155 | 411 | $286,033 | $58,081 | $44,714 |
| 2022 | 136 | 314 | $185,224 | $37,397 | $28,710 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 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 | 134 | $19 | $15 |
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 116 | $132 | $105 |
| 99215 | Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more | 98 | $160 | $122 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 37 | $109 | $82 |
| 93750 | Evaluation of lower heart chamber assist device | 36 | $43 | $34 |
| 99205 | New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more | 13 | $188 | $150 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Advanced Heart Failure and Transplant Cardiology Physician | 207RA0001X | ✓ | C171930 | CA |
| Specialist | 174400000X | MD420221 | PA | |
| Advanced Heart Failure and Transplant Cardiology Physician | 207RA0001X | MD420221 | PA | |
| Cardiovascular Disease Physician | 207RC0000X | MD420221 | PA | |
| Cardiovascular Disease Physician | 207RC0000X | C171930 | 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.