JOHN SIMON, MD
Nephrology Physician · COVINGTON, LA
Individual Active NPI 1760489892
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 580 | 4,414 | $839,935 | $348,464 | $277,471 |
| 2023 | 651 | 1,920 | $454,687 | $180,897 | $142,260 |
| 2022 | 490 | 1,097 | $354,527 | $151,912 | $119,373 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 2,882 | $76 | $61 |
| 99231 | Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes | 310 | $48 | $39 |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 255 | $125 | $100 |
| G0180 | Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and | 213 | $49 | $37 |
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 158 | $115 | $90 |
| 90960 | Dialysis services, 4 or more physician visits per month (20 years or older) | 58 | $333 | $261 |
| 99239 | Hospital discharge day management, more than 30 minutes | 51 | $108 | $82 |
| 99308 | Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more | 48 | $72 | $58 |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 34 | $165 | $133 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | ✓ | MD.021048 | LA |
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | MD.021048 | LA | |
| Internal Medicine Physician | 207R00000X | MD.021048 | LA |
Medicare eligibility
- Part B
- Yes
- DME
- Yes
- Home health
- Yes
- Power mobility
- Yes
- Hospice
- Yes
Other Nephrology Physician providers in Louisiana
- NPI 1356427199
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- NPI 1538143599
- NPI 1023375300
- NPI 1790665396
- NPI 1609841428
- NPI 1750608006
Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.