PAUL SIMON, D.O.
Anatomic Pathology & Clinical Pathology Physician · TOMS RIVER, NJ
Individual Active NPI 1417908468
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 968 | 2,418 | $579,782 | $80,679 | $63,972 |
| 2023 | 959 | 2,561 | $592,161 | $87,428 | $69,653 |
| 2022 | 906 | 2,762 | $648,857 | $100,242 | $79,763 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 88305 | Pathology examination of tissue using a microscope, intermediate complexity | 720 | $37 | $29 |
| 88341 | Special stained specimen slides to examine tissue, each additional procedure | 212 | $28 | $22 |
| 88173 | Evaluation of fine needle aspirate with interpretation and report | 179 | $70 | $55 |
| 88112 | Cell examination of specimen, selective cellular enhancement technique | 156 | $28 | $22 |
| 88300 | Pathology examination of tissue using a microscope, limited examination | 153 | $5 | $4 |
| 88360 | Microscopic genetic analysis of tumor, manual | 105 | $42 | $33 |
| 80503 | Pathology clinical consultation for clinical problem, 5-20 minutes | 101 | $20 | $15 |
| 88342 | Special stained specimen slides to examine tissue, initial procedure | 96 | $35 | $28 |
| 84165 | Protein measurement, serum | 93 | $18 | $14 |
| 88307 | Pathology examination of tissue using a microscope, moderately high complexity | 82 | $82 | $65 |
| 86334 | Immunologic analysis technique on serum (immunofixation) | 79 | $18 | $14 |
| 88304 | Pathology examination of tissue using a microscope, moderately low complexity | 72 | $11 | $9 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | ✓ | MB048321 | NJ |
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.