MATTHIAS SIMON, M.D., PH.D.
Nephrology Physician · LIVE OAK, TX
Individual Active NPI 1508950130
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 476 | 4,574 | $805,885 | $379,686 | $291,279 |
| 2023 | 506 | 4,261 | $784,661 | $378,939 | $290,602 |
| 2022 | 513 | 4,463 | $774,453 | $380,210 | $294,262 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| J0885 | Injection, epoetin alfa, (for non-esrd use), 1000 units | 858 | $8 | $6 |
| 99490 | Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month | 585 | $57 | $45 |
| 90960 | Dialysis services, 4 or more physician visits per month (20 years or older) | 418 | $316 | $247 |
| 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 | 395 | $15 | $11 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 386 | $116 | $84 |
| 99439 | Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month | 314 | $43 | $34 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 284 | $70 | $54 |
| 90966 | Home dialysis services per month (20 years or older) | 156 | $263 | $203 |
| 99426 | Principal care management services for a single high-risk disease, first 30 minutes of clinical staff time directed by health care professional, per calendar month | 150 | $56 | $44 |
| 90961 | Dialysis services, 2-3 physician visits per month (20 years or older) | 89 | $265 | $206 |
| 96372 | Injection of drug or substance under skin or into muscle | 86 | $13 | $9 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 77 | $82 | $54 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | ✓ | M5509 | TX |
| Internal Medicine Physician | 207R00000X | 01061565A | IN |
Medicare eligibility
- Part B
- Yes
- DME
- Yes
- Home health
- Yes
- Power mobility
- Yes
- Hospice
- Yes
Other Nephrology Physician providers in Texas
- NPI 1518988104
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- NPI 1518131960
- NPI 1427024231
- NPI 1700904612
Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.