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    v1.0.28
    OpenPayerNPI Medicare & MedicaidVincent Simone
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    Vincent Simone — Billing Profile & Reimbursement Data

    NPI 1427053917 · Maplewood, MN · Foot & Ankle Surgery Podiatrist

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    Vincent Simone is a foot & ankle surgery podiatrist provider located in Maplewood, Minnesota. This profile covers 19 Medicare and 0 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationVincent Simone
    Address2945 Hazelwood St
    CityMaplewood
    StateMN
    ZIP55109
    TaxonomyFoot & Ankle Surgery Podiatrist
    NPI EnumeratedJune 20, 2005

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

    Payer SourceTotal Paid
    Medicare$83.7K
    Medicaid$0

    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.

    19 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    11044The provider uses surgical instruments to remove the dead, infected tissue in bone, also including the epidermis, dermis, subcutaneous tissue, muscle, and/or fascia as needed. This code covers the…90$160$13.8K
    11042The provider uses surgical instruments to remove the dead tissue in skin down to the subcutaneous layer and including the epidermis and dermis, up to the first 20 cm2.320$40$13.3K
    11043The provider uses surgical instruments to remove the dead tissue in muscle and/or fascia, including any debridement of the epidermis, dermis, and subcutaneous tissue, for the first or only 20 cm2 or…110$110$12.1K
    99203The 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…100$80$7.2K
    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…130$50$6.5K
    28122In this procedure, the provider removes the infected portion of the tarsal or metatarsal bone, not including the talus or calcaneus, using craterization, saucerization, or diaphysectomy.20$310$6.4K
    28820In this procedure, the provider amputates the toe at the metatarsophalangeal joint. The metatarsophalangeal joint is the joint between the first metatarsal of the foot and the first phalanx of the…50$110$5.7K
    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…50$80$3.9K
    28002The provider makes an incision in a bursa, a fluid filled sac that prevents friction where a tendon rubs against a bone, to drain infected material that may involve the covering of the tendon.40$70$3.1K
    99222The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…30$100$2.7K

    Showing 1–10 of 19

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 19 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    19 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    11044210100$160$16K
    1104341080$140$12.4K
    11721137140190$30$11.9K
    992332,0562,57060$90$8.4K
    992146,31210,10070$80$8.1K
    11042510060$60$5.9K
    2812211020$240$5K
    97597607070$50$4.7K
    992131,4409,12050$50$4K
    1104621090$50$4K

    Showing 1–10 of 19

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Fairview Health ServicesMNGeneral Acute Care Hospital$0$90.4M
    Fairview Health ServicesMNEmergency Medicine Physician$0$26.6M
    Healtheast St. John's HospitalMNGeneral Acute Care Hospital$0$17.9M
    Fairview Health ServicesMNGeneral Acute Care Hospital$0$17.2M
    Fairview Express CareMNGeneral Practice Physician$0$11.4M
    Healtheast Medical Research InstituteMNClinic/Center$0$11.4M
    Fairview ClinicsMNPrimary Care Clinic/Center$0$9.4M
    Healtheast Medical Research InstituteMNClinic/Center$0$8.7M
    Healtheast Medical Research InstituteMNInternal Medicine Physician$0$8.3M
    Healtheast Medical Research InstituteMNClinic/Center$0$7.4M

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Rem Ramsey, Inc.MNIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility$0$207.6M
    Community Dental Care IncMNGeneral Practice Dentistry$0$30.7M
    Senior Home Living IncMNPersonal Care Attendant$0$29.4M
    Rainbow Home Healthcare IncMNHome Health Agency$0$22.2M
    Cochran Recovery ServicesMNSubstance Abuse Rehabilitation Facility$0$15.4M
    Ardent Home Health Care Inc.MNHome Health Agency$0$12.2M
    First Nations, LLCMNIn Home Supportive Care Agency$0$11.3M
    Hmong Minnesota Senior CenterMNAdult Day Care Clinic/Center$0$10M
    The Isd 622 Education CenterMNLocal Education Agency (LEA)$0$6.5M
    Bhsi, LLCMNClinical Psychologist$0$5.2M

    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. Minnesota Distribution
    Vincent Simone — 3 of 19 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Minnesota