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    OpenPayerNPI Medicare & MedicaidSimon Faynzilberg
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    Simon Faynzilberg — Billing Profile & Reimbursement Data

    NPI 1417956418 · Brookline, MA · Pain Medicine (Anesthesiology) Physician

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    Simon Faynzilberg is a pain medicine (anesthesiology) physician provider located in Brookline, Massachusetts. This profile covers 29 Medicare and 3 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationSimon Faynzilberg
    Address157 Winthrop Rd # 2
    CityBrookline
    StateMA
    ZIP02445
    TaxonomyPain Medicine (Anesthesiology) Physician
    NPI EnumeratedJuly 20, 2005

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicare$380.3K
    Medicaid$150.5K

    Medicare: Total Revenue Breakdown by CPT/HCPCS Code

    Medicare revenue breakdown by CPT/HCPCS procedure code.

    View: Bar Chart1 / 2

    Medicare: Complete Services Breakdown

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

    29 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99214The 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…2,380$80$178.8K
    99213The 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…600$60$33.4K
    99442N/A480$50$23.7K
    64635Under fluoroscopic or CT guidance, the provider applies an agent to a lower back joint to destroy nerve tissue.110$200$22K
    99204The 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…150$110$16.2K
    62323The provider injects a diagnostic or a therapeutic substance, such as pain medication or a steroid, into the space around the spinal nerves of the lumbar (lower back) or sacral (caudal, or tailbone)…210$80$16K
    20610In this procedure, the provider inserts a needle through the skin of a patient and into a major joint or bursa and then uses the syringe attachment to the needle to remove fluid or he may inject a…250$40$9.8K
    64493The provider injects a diagnostic or therapeutic substance into a single lumbar or sacral paravertebral facet (zygapophyseal) joint, or into the nerves that supply that joint, using imaging guidance…90$110$9.7K
    62264In this procedure, the provider places a catheter or introduces a chemical substance to an adhesion in the epidural space to remove the adhesion, in a procedure often referred to as a Racz catheter…50$190$8.8K
    64483This procedure is the injection of an anesthetic agent and/or steroid in the form of a transforaminal epidural injection into a single level (either lumbar or sacral).80$90$7K

    Showing 1–10 of 29

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 29 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    29 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    64635711030$350$16.5K
    99214615,410110$80$15.6K
    6226431050$260$14.5K
    644834617040$180$14.1K
    623232119070$120$12.2K
    6464041060$120$11.8K
    644934718050$160$11.2K
    6463373020$360$9.5K
    992325,2895,40070$60$9.3K
    9921350113,70070$60$8.8K

    Showing 1–10 of 29

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

    Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

    3 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99214The 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…2,100$50$113.3K
    99213The 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…810$50$36.5K
    99212The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…40$30$1.2K

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other Massachusetts providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. Massachusetts median

    3 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    99212The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…65895090$100$212.9K
    99214The 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…7765,040200$70$209.5K
    99213The 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…1,5905,300230$60$164.5K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Beth Israel Deaconess Medical Center, Inc.MAGeneral Acute Care Hospital$0$270.4M
    Robert NajarianMAAnatomic Pathology Physician$520.7K$878.6K
    Irene PiryatinskyMAPsychologist$169.6K$1M
    Alireza SepehrMAAnatomic Pathology & Clinical Pathology Physician$1.2M$1000
    Megan NicholsKSOphthalmology Physician$1M$0
    Stephen LyleMAAnatomic Pathology Physician$852.2K$40.3K
    Joseph RaevisNJOphthalmology Physician$874.9K$500
    Anh NgoNHInterventional Pain Medicine Physician$815.5K$0
    Herman LuCACardiovascular Disease Physician$789.4K$0
    Daihung DoMAMOHS-Micrographic Surgery Physician$698.1K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    David GendelmanMAOphthalmology Physician$1.1M$0
    Kevin KaufmannMAOphthalmology Physician$330K$0
    John LeeMAOphthalmology Physician$273K$25.8K
    Brian LesterMADermatology Physician$285.7K$0
    Joseph HartiganMAPrimary Podiatric Medicine Podiatrist$255.2K$0
    Claudia ArriggMASpecialist$214.6K$0
    Daniel SchwartzMAOphthalmology Physician$214.5K$0
    Ernest KornmehlMAOphthalmology Physician$167.2K$0
    Macie FinkelsteinMAOphthalmology Physician$150.7K$0
    Mitchell RubensteinMADermatology Physician$118.9K$0

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Massachusetts Distribution
    Simon Faynzilberg — 6 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Massachusetts
    Medicaid Revenue by Year vs. Massachusetts Providers
    0 of 6 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Massachusetts Distribution
    Simon Faynzilberg — 0 of 3 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Massachusetts