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

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

Alfred Simental (NPI 1265464077)

Field	Value
Entity Type	Individual
Organization	Alfred Simental
Address	11370 Anderson St
City	Loma Linda
State	CA
ZIP	92354
Taxonomy	Otolaryngology Physician
NPI Enumerated	July 6, 2006

Payer Source	Total Paid
Medicare	$81.5K
Medicaid	$0

Medicare: Complete Services Breakdown

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

7 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
60500	In the traditional procedure of parathyroid exploration, the provider surgically visualizes and screens the parathyroid glands for pathology based on their appearance and relative size. He may then…	40	$790	$33K
60220	This is a procedure involving complete surgical removal of one of the two lobes the thyroid gland is divided into. The provider may perform the procedure with or without surgical removal of the…	40	$530	$22.4K
99203	The provider sees a new 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 provider…	90	$80	$7.3K
99204	The provider sees a new 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 provider…	50	$130	$6.2K
31575	The provider uses a flexible laryngoscope to look inside the larynx, or voice box, to detect the presence of any abnormalities. This code applies to diagnostic services.	40	$110	$4.7K
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…	70	$60	$4K
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…	40	$90	$3.9K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 7 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. California Distribution

Alfred Simental — 1 of 7 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — California

Full comparison — all codes billed, vs. state median

7 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	28,486	37,970	120	$90	$23.2K
60500	6	50	20	$670	$16.8K
99213	19,572	34,660	80	$70	$13.2K
60220	1	10	10	$490	$8.3K
31575	334	610	50	$100	$7.3K
99204	7,737	19,360	40	$120	$7.2K
99203	2,341	12,740	30	$80	$4.6K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Seventh-day Adventists Loma Linda University Medical Center	CA	General Acute Care Hospital	$0	$253.4M
Faculty Physicians And Surgeons Of Llusm	CA	Pediatrics Physician	$0	$66.4M
Faculty Physicians And Surgeons Of Llusm	CA	Surgery Physician	$0	$54.9M
Sac Health System	CA	Federally Qualified Health Center (FQHC)	$0	$50.6M
Harbinder Brar	CA	Maternal & Fetal Medicine Physician	$0	$31.3M
Unlv Medicine	NV	Internal Medicine Physician	$0	$22M
Kevin O'reilly	CA	Podiatrist	$513.7K	$4.7M
Homayoun Tabandeh	CA	Ophthalmology Physician	$5.1M	$6.8K
Nikhil Patel	CA	Vascular & Interventional Radiology Physician	$4.3M	$0
Shashi Sharma	CA	Interventional Cardiology Physician	$3.6M	$7.3K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Scott Somers	CA	Diagnostic Radiology Physician	$878.2K	$0
Eddie Lares	CA	Emergency Medicine Physician	$353.5K	$0
Ali Mehdizadeh	CA	Critical Care Medicine (Anesthesiology) Physician	$265.5K	$0
Kakarla Chalam	CA	Ophthalmology Physician	$255.9K	$0
Fred Soeprono	CA	Dermatology Physician	$235K	$0
Rian Nina Jaffer	CA	Physician Assistant	$197.4K	$0
William May	CA	Ophthalmology Physician	$191.6K	$0
Michael Wright	CA	Orthopaedic Surgery Physician	$168.3K	$0
Khashayar Dashtipour	CA	Neurology Physician	$161.5K	$0
Christopher Church	CA	Otolaryngology Physician	$137.2K	$0

Alfred Simental — Billing Profile & Reimbursement Data

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Alfred Simental — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References