Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or New Jersey for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to New Jersey only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. New Jersey (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Daniel Simon (NPI 1013997428)

Field	Value
Entity Type	Individual
Organization	Daniel Simon
Address	317 George St
City	New Brunswick
State	NJ
ZIP	08901
Taxonomy	Vascular & Interventional Radiology Physician
NPI Enumerated	January 20, 2006

Payer Source	Total Paid
Medicare	$4.2M
Medicaid	$0

Key Findings

DANIEL SIMON is a Vascular & Interventional Radiology Physician based in NEW BRUNSWICK, NJ with an NPI enumerated 2006-01-20 (~20 years ago). His lifetime Medicare billing totals $4.2M and there is no Medicaid billing on file, indicating an effectively single-payer Medicare practice footprint rather than a mixed Medicaid/Medicare payer mix.

Revenue for this provider is highly concentrated: the precomputed top three Medicare codes by revenue account for 75.3% of the provider's total Medicare revenue. Those top three codes are 37229 ($1.8M revenue, 43.7% of total Medicare revenue), 37227 ($677.7K revenue, 16.1% of total Medicare revenue), and 37225 ($657.3K revenue, 15.6% of total Medicare revenue).

The CPT mix and code descriptions point to a focused endovascular practice: high-revenue codes 37229, 37227, and 37225 are peripheral endovascular/stent and angioplasty–type procedures, and substantial use of intravascular ultrasound add-ons (37252 and 37253) and angiography supervision codes (75710, 75716, 75625) indicates a procedure-heavy workflow that relies on advanced imaging during interventions. For example, 37252 (intravascular ultrasound add-on) generated $295.8K from 338 claims, supporting a practice model centered on image-guided vascular interventions.

On competitive standing, DANIEL SIMON ranks as a high-volume national participant for multiple primary codes: 37229 ranks #11 of 603 providers nationally (98th percentile) and 37225 ranks #17 of 715 (98th percentile), both described as notably above typical national volume; 37252 ranks #11 of 1088 providers nationally (99th percentile) and is labeled an extreme outlier, indicating unusually high national procedural volume for intravascular ultrasound. By contrast, some codes such as 37231 (24 claims, $10473 avg paid, $251.4K revenue) fall near median national participation (48th percentile), reflecting a mix of dominant and typical code-level positions across his portfolio.

Procedural support and imaging codes are also unusually prominent in his billing profile, reinforcing the interventional focus: 76937 (ultrasound guidance) shows 314 claims and $11K revenue and ranks #29 of 12234 providers nationally (100th percentile, extreme outlier), 75710 (angiography RS&I unilateral) is 202 claims and $26.7K revenue and ranks in the 99th percentile, and 75716 (bilateral angiography RS&I) is 120 claims and $17.2K revenue and ranks in the 99th percentile (extreme outlier). These high-volume imaging/supervision codes suggest frequent use of imaging guidance and supervisory interpretation in many cases.

The dataset flags several codes as statistical outliers or notably above typical national volume — specifically, 37252 is described as an "extreme outlier, far above typical national volume," while 37229 and 37225 are noted as "notably above typical national volume," and 37253, 75710, 75716, 75625 and 76937 are similarly classified at very high percentiles. For payers and competitors this pattern signals a specialized, high-capacity operator in selective endovascular procedures and imaging-intensive workflows rather than a low-volume generalist.

Operationally and from a payer-risk perspective, the absence of any Medicaid billing on file combined with $4.2M in Medicare revenue means this clinician’s public-reimbursement exposure is concentrated in Medicare only. That single-payer orientation reduces diversification of public payer risk and suggests limited direct access to Medicaid-covered populations through this billing identity, which may be relevant to network planning and reimbursement negotiations that seek Medicaid capacity.

Medicare: Complete Services Breakdown

The CPT/HCPCS codes generating the most Medicare revenue for this provider.

24 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
37229	N/A	240	$7,640	$1.8M
37227	N/A	70	$10,120	$677.7K
37225	N/A	130	$5,060	$657.3K
37252	In this add–on procedure, the provider inserts a specially designed catheter with an ultrasound transducer, a device that sends high–frequency sound waves through the tissues and detects their…	340	$880	$295.8K
37231	N/A	20	$10,470	$251.4K
37253	In this add–on procedure, the provider inserts a specially designed catheter with an ultrasound transducer, a device that sends high–frequency sound waves through the tissues and detects their…	580	$150	$87.7K
37233	N/A	70	$940	$64.1K
37238	The physician inserts a stent in a vein using a catheter. Access may be either open or percutaneous. Radiological supervision and interpretation are included.	20	$3,230	$58.2K
36905	Under fluoroscopic guidance (live X–rays that can be viewed on a monitor), the provider introduces a catheter into a vessel in the dialysis circuit and extracts a blood clot (hematoma) with special…	20	$2,040	$38.8K
37220	N/A	20	$1,430	$31.4K

Showing 1–10 of 24

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 24 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. New Jersey Distribution

Daniel Simon — 9 of 23 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — New Jersey

Full comparison — all codes billed, vs. state median

24 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
37227	4	20	20	$9,660	$425.1K
37231	3	10	40	$11,080	$376.8K
37229	1	30	30	$6,870	$370.7K
37225	1	30	30	$5,350	$176.7K
36902	56	70	50	$1,050	$106.5K
36905	14	20	30	$2,440	$102.3K
37238	5	10	20	$3,160	$82K
37252	1	50	50	$830	$59.6K
37248	7	10	30	$1,220	$35.3K
37233	1	10	30	$820	$33.7K

Showing 1–10 of 24

Related Providers

Other providers that share a Tax Identification Number (TIN) with Daniel Simon, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Columbus Radiology Corp	OH	Diagnostic Radiology Physician	$0	$49.9M
Medalliance Medical Health Services Inc	NY	Clinic/Center	$0	$32.5M
Reliance Medical Group LLC	NJ	Specialist	$0	$9.4M
Rami Sartawi	NY	Vascular & Interventional Radiology Physician	$3.7M	$4.9M
Sergio Sokol	NY	Cardiovascular Disease Physician	$1.8M	$5.7M
Amir Salem	NY	Vascular & Interventional Radiology Physician	$5M	$605.9K
Ananth Shankar	NY	Nuclear Cardiology Physician	$358.3K	$5.3M
Iftikhar Ahmad	NY	Diagnostic Radiology Physician	$3.8M	$650.3K
Amit Shah	NY	Vascular Surgery Physician	$3.6M	$74.2K
David O'connor	NJ	Vascular Surgery Physician	$3.6M	$0

Nearby Providers

Other providers in the same ZIP code as Daniel Simon, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Children's Specialized Hospital	NJ	Children's Rehabilitation Hospital	$0	$200M
Robert Wood Johnson University Hospital, Inc	NJ	General Acute Care Hospital	$0	$198.3M
Saint Peter's University Hospital	NJ	General Acute Care Hospital	$0	$185.5M
Diya Care Inc	NJ	Home Health Agency	$0	$139.8M
Golden Path Adult Day Health Care Inc.	NJ	Adult Day Care Clinic/Center	$0	$17.7M
New Brunswick Board Of Education	NJ	Local Education Agency (LEA)	$0	$12.7M
Care We Love, LLC	NJ	Home Health Agency	$0	$11.2M
Damon House Inc.	NJ	Substance Abuse Rehabilitation Facility	$0	$9.8M
Southern Bank Emergency Physicians LLC	NJ	Emergency Medicine Physician	$0	$9.2M
New Brunswick Counseling Center	NJ	Substance Use Disorder Rehabilitation Clinic/Center	$174.7K	$9M

Daniel Simon — Billing Profile & Reimbursement Data

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Daniel Simon — Billing Profile & Reimbursement Data

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Key Findings

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References