ROBERT SIMON, MD
Urology Physician · CLIFFSIDE PARK, NJ
Individual Active NPI 1992901052
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 788 | 13,630 | $2,395,889 | $487,780 | $375,000 |
| 2023 | 624 | 14,669 | $2,508,835 | $590,307 | $459,607 |
| 2022 | 627 | 9,995 | $2,340,153 | $485,041 | $382,495 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 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 | 976 | $18 | $14 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 637 | $99 | $73 |
| 76857 | Limited ultrasound scan of pelvis | 630 | $51 | $38 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 610 | $139 | $103 |
| 81003 | Automated urinalysis test | 573 | $2 | $2 |
| 76770 | Complete ultrasound scan behind abdominal cavity | 296 | $120 | $87 |
| 36415 | Insertion of needle into vein for collection of blood sample | 277 | $9 | $9 |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | 136 | $0 | $0 |
| 76856 | Complete ultrasound scan of pelvis | 117 | $113 | $84 |
| 51741 | Electronic assessment of bladder emptying | 117 | $14 | $11 |
| 87086 | Bacterial colony count, urine | 117 | $8 | $8 |
| 87088 | Bacterial urine culture | 106 | $8 | $8 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Urology Physician | 208800000X | ✓ | 25MA08240600 | 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.