MICHAEL SIMON, M.D.
Pulmonary Disease Physician · FALL RIVER, MA
Individual Active NPI 1366896912
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 429 | 1,060 | $424,568 | $130,814 | $100,046 |
| 2023 | 121 | 223 | $88,571 | $27,912 | $22,240 |
| 2022 | 50 | 50 | $16,920 | $5,413 | $4,135 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 99215 | Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more | 171 | $180 | $137 |
| 99291 | Critical care, first 30-74 minutes | 143 | $209 | $164 |
| 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 | 112 | $16 | $13 |
| 99205 | New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more | 102 | $221 | $162 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 85 | $130 | $94 |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 58 | $171 | $137 |
| 94060 | Test to measure expiratory airflow and volume changes before and after medication administration | 57 | $40 | $31 |
| 94729 | Test to examine how well the lungs exchange gases | 53 | $58 | $46 |
| 94726 | Test to determine lung volumes using sensors | 53 | $58 | $45 |
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 37 | $117 | $93 |
| 94060 | Test to measure expiratory airflow and volume changes before and after medication administration | 29 | $10 | $8 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 26 | $78 | $62 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | ✓ | 291140 | MA |
| Pulmonary Disease Physician | 207RP1001X | LP04894 | RI |
Medicare eligibility
- Part B
- Yes
- DME
- Yes
- Home health
- Yes
- Power mobility
- Yes
- Hospice
- Yes
Other Pulmonary Disease Physician providers in Massachusetts
- NPI 1346326485
- NPI 1194990382
- NPI 1407015449
- NPI 1659428480
- NPI 1700414893
- NPI 1881125888
- NPI 1104816552
- NPI 1932430592
See all Pulmonary Disease Physician providers in Massachusetts →
Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.