npidexNPI registry + Medicare data

GERALD SIMON, MD

Internal Medicine Physician · COUNTRYSIDE, IL

Individual Active NPI 1861450330

Medicare payment data Part B · 2024

YearBeneficiariesServicesSubmittedAllowedPaid
20246195,710$968,737$445,621$349,167
20236596,067$972,781$492,721$388,976
20227097,241$1,152,998$563,408$441,726

Top procedures (2024)

HCPCSDescriptionServicesAvg allowedAvg paid
99490Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month1,326$61$48
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes1,280$77$60
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more672$125$89
G2211Visit 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's328$16$12
99239Hospital discharge day management, more than 30 minutes309$111$88
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes305$128$100
99308Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more281$72$56
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit183$126$126
99309Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes127$105$83
99213Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more118$89$64
90662Influenza vaccine split virus, preservative free55$82$82
G0008Administration of influenza virus vaccine55$34$34

Taxonomy & licensure

SpecialtyCodePrimaryLicenseState
Internal Medicine Physician207R00000X✓036066840IL
Geriatric Medicine (Internal Medicine) Physician207RG0300X36066840IL

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.