JOSEF SIMON, MD
Orthopaedic Surgery of the Spine Physician · CAMBRIDGE, MA
Individual Active NPI 1366638710
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 304 | 757 | $1,084,742 | $228,194 | $178,701 |
| 2023 | 297 | 765 | $1,217,623 | $204,724 | $160,410 |
| 2022 | 327 | 817 | $1,643,203 | $269,562 | $211,949 |
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 | 165 | $139 | $106 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 119 | $99 | $69 |
| 99203 | New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more | 56 | $121 | $88 |
| 72100 | X-ray of lower and sacral spine, 2-3 views | 55 | $46 | $32 |
| 63047 | Partial removal of spine bone with release of lower spinal cord and/or nerves, 1 segment | 30 | $987 | $787 |
| 63048 | Partial removal of spine bone with release of spinal cord and/or nerves, each additional segment | 27 | $217 | $173 |
| 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 | 26 | $17 | $14 |
| 72040 | X-ray of upper spine, 2-3 views | 25 | $45 | $26 |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 24 | $136 | $109 |
| 22853 | Insertion of cage or mesh device to spine bone and disc space during spine fusion | 18 | $267 | $212 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 14 | $181 | $134 |
| 22842 | Placement of stabilizing device to back, 3-6 spine bone segments | 14 | $785 | $626 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Orthopaedic Surgery of the Spine Physician | 207XS0117X | ✓ | 233987 | MA |
Medicare eligibility
- Part B
- Yes
- DME
- Yes
- Home health
- Yes
- Power mobility
- Yes
- Hospice
- Yes
Other Orthopaedic Surgery of the Spine Physician providers in Massachusetts
- NPI 1871159848
- NPI 1720186422
- NPI 1376588004
- NPI 1679132070
- NPI 1619160470
- NPI 1558316166
- NPI 1225083579
- NPI 1558359190
See all Orthopaedic Surgery of the Spine Physician providers in Massachusetts →
Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.