ANDREW SIMON, M.D.
Urology Physician · BRICK, NJ
Individual Active NPI 1992767388
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 613 | 4,264 | $349,140 | $180,794 | $136,722 |
| 2023 | 807 | 6,060 | $631,730 | $292,299 | $219,142 |
| 2022 | 897 | 6,109 | $674,389 | $329,902 | $249,167 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 955 | $97 | $72 |
| 51798 | Ultrasound measurement of bladder capacity after voiding | 432 | $13 | $9 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 112 | $138 | $106 |
| 99212 | Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more | 93 | $61 | $47 |
| 81000 | Manual urinalysis test with examination using microscope, non-automated | 89 | $4 | $4 |
| 52000 | Diagnostic exam of bladder and urethra using an endoscope | 23 | $262 | $210 |
| 52281 | Dilation of urethra using an endoscope | 21 | $355 | $284 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 20 | $179 | $131 |
| 55700 | Biopsy of prostate gland | 17 | $137 | $97 |
| 76942 | Ultrasonic guidance for needle placement | 17 | $31 | $24 |
| 76872 | Ultrasound scan of pelvic region through rectum | 17 | $34 | $26 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Urology Physician | 208800000X | ✓ | 25MA05112300 | NJ |
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.