GARY SIMON, M.D.
Orthopaedic Surgery Physician · AUSTELL, GA
Individual Active NPI 1467440107
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 555 | 40,245 | $1,220,267 | $266,106 | $196,874 |
| 2023 | 537 | 6,779 | $1,021,925 | $226,716 | $166,684 |
| 2022 | 589 | 35,720 | $1,246,175 | $299,304 | $223,438 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| J1010 | Injection, methylprednisolone acetate, 1 mg | 34,181 | $0 | $0 |
| J7332 | Hyaluronan or derivative, triluron, for intra-articular injection, 1 mg | 3,661 | $10 | $8 |
| 20610 | Aspiration and/or injection of fluid from large joint | 653 | $73 | $52 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 607 | $91 | $63 |
| 73030 | X-ray of shoulder, minimum of 2 views | 282 | $35 | $25 |
| 73562 | X-ray of knee, 3 views | 239 | $41 | $31 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 137 | $128 | $95 |
| J1040 | Injection, methylprednisolone acetate, 80 mg | 122 | $10 | $6 |
| 99203 | New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more | 104 | $112 | $70 |
| 73221 | Mri scan of arm joint without contrast | 35 | $146 | $117 |
| 99212 | Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more | 33 | $57 | $38 |
| 23472 | Prosthetic repair of shoulder joint, total shoulder | 24 | $1,479 | $1,186 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | ✓ | 040235 | GA |
Medicare eligibility
- Part B
- Yes
- DME
- Yes
- Home health
- Yes
- Power mobility
- Yes
- Hospice
- Yes
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See all Orthopaedic Surgery Physician providers in Georgia →
Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.