MATTHEW SIMONICH, MD
Orthopaedic Surgery Physician · PUEBLO, CO
Individual Active NPI 1790755056
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 219 | 2,375 | $475,460 | $141,162 | $108,367 |
| 2023 | 242 | 1,902 | $538,726 | $152,970 | $118,908 |
| 2022 | 222 | 1,797 | $588,627 | $175,518 | $134,355 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 662 | $1 | $1 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 135 | $93 | $64 |
| 20610 | Aspiration and/or injection of fluid from large joint | 122 | $77 | $58 |
| 73562 | X-ray of knee, 3 views | 62 | $43 | $31 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 58 | $133 | $99 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 40 | $173 | $117 |
| 99203 | New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more | 35 | $113 | $73 |
| 20985 | Computer-assisted surgery for muscle and bone procedure | 29 | $146 | $118 |
| 73030 | X-ray of shoulder, minimum of 2 views | 26 | $37 | $29 |
| 27447 | Replacement of knee joint, both sides of knee | 25 | $1,276 | $1,027 |
| 99215 | Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more | 24 | $187 | $132 |
| 73502 | X-ray of hip, 2-3 views | 20 | $50 | $33 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | ✓ | CO36912 | CO |
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.