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 Louisiana for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Louisiana 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. Louisiana (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.

Scott Simeon (NPI 1093784696)

Field	Value
Entity Type	Individual
Organization	Scott Simeon
Address	200 W Esplanade Ave
City	Kenner
State	LA
ZIP	70065
Taxonomy	Internal Medicine Physician
NPI Enumerated	March 16, 2006

Payer Source	Total Paid
Medicare	$25K
Medicaid	$0

Medicare: Complete Services Breakdown

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

9 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	140	$80	$10.3K
G0439	Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	50	$130	$6.4K
99215	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…	20	$110	$2.6K
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	30	$60	$2.1K
G0446	Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes	60	$30	$1.4K
G0442	Annual alcohol misuse screening, 5 to 15 minutes	60	$20	$990
G0444	Annual depression screening, 5 to 15 minutes	50	$20	$970
96372	A therapeutic, prophylactic, or diagnostic substance (a fluid, a drug, etc.) is injected via intramuscular or subcutaneous route into the patient's body. The procedure is performed by the physician…	20	$10	$220
J1100	Injection, dexamethasone sodium phosphate, 1 mg	200	$0	$0

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 9 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Louisiana Distribution

Scott Simeon — 0 of 8 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Louisiana

Full comparison — all codes billed, vs. state median

9 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	2,849	6,670	110	$80	$16.5K
G0439	597	1,060	60	$120	$11.7K
99215	1,081	1,650	40	$110	$8.4K
99213	4,329	6,060	70	$50	$8.1K
G0446	9	20	50	$20	$1.7K
G0444	90	170	60	$20	$1.6K
G0442	29	70	50	$20	$1.4K
96372	1,218	1,600	50	$10	$820
J1100	384	750	210	$1	$30

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Access Health Louisiana	LA	Federally Qualified Health Center (FQHC)	$0	$32.1M
Ochsner Medical Center - Kenner, L.L.C.	LA	General Acute Care Hospital	$0	$25.1M
Kenner Emergency Group LLC	LA	Emergency Medicine Physician	$0	$12M
Samuel Y Brown Md Apmc	LA	Pediatrics Physician	$0	$9.7M
Quynh Mai Clinic LLC	LA	Family Medicine Physician	$0	$7.2M
All America Personal Care, Inc.	LA	Developmentally Disabled Services Day Training Agency	$0	$6.8M
Nola Pediatrics	LA	Nursing Care Agency	$0	$6.1M
Mohammad Anwar	LA	Psychiatry Physician	$149.1K	$771.9K
Quynh Mai	LA	Family Medicine Physician	$272.5K	$4.5K
Samia Suleman	LA	Family Medicine Physician	$212.1K	$0

Scott Simeon — Billing Profile & Reimbursement Data

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Scott Simeon — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References