LUIGI SIMONE, M.D.
Family Medicine Physician · ENCINITAS, CA
Individual Active NPI 1407951338
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 593 | 15,837 | $1,611,379 | $499,358 | $396,780 |
| 2023 | 469 | 9,917 | $619,016 | $199,121 | $161,533 |
| 2022 | 495 | 18,770 | $1,451,001 | $396,400 | $312,147 |
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 | 480 | $17 | $12 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 388 | $137 | $91 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 251 | $97 | $66 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 231 | $138 | $138 |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 186 | $1 | $1 |
| G0008 | Administration of influenza virus vaccine | 134 | $34 | $34 |
| 90662 | Influenza vaccine split virus, preservative free | 129 | $81 | $81 |
| 17003 | Destruction of precancer skin growth, 2-14 growths | 123 | $8 | $5 |
| 96372 | Injection of drug or substance under skin or into muscle | 61 | $16 | $12 |
| 99215 | Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more | 58 | $192 | $122 |
| 93005 | Routine electrocardiogram (ecg) using at least 12 leads with tracing | 37 | $7 | $5 |
| G0009 | Administration of pneumococcal vaccine | 34 | $35 | $35 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | ✓ | G75607 | 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.