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

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

Mark Simon (NPI 1568530731)

Field	Value
Entity Type	Individual
Organization	Mark Simon
Address	6606 Lbj Fwy Ste 200
City	Dallas
State	TX
ZIP	75240
Taxonomy	Anesthesiology Physician
NPI Enumerated	December 4, 2006

Payer Source	Total Paid
Medicare	$27.7K
Medicaid	$0

Medicare: Complete Services Breakdown

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

19 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
00731	The anesthesia provider performs anesthesia services for an unspecified type of upper gastrointestinal endoscopic procedure during which another provider introduces the endoscope to but not beyond…	60	$50	$3K
01402	The provider performs anesthesia services for a patient undergoing an open or arthroscopic total knee arthroplasty.	30	$90	$2.7K
00840	The provider performs anesthesia services for a patient undergoing intraperitoneal procedures in the lower abdomen, including laparoscopy, which are not specified by any other anesthesia code.	30	$90	$2.6K
64448	The provider places a catheter and administers one or more anesthetic agents and/or a steroid by continuous infusion into the area of the femoral nerve, which innervates the leg and foot.	50	$50	$2.5K
00790	The provider performs anesthesia services for a patient undergoing intraperitoneal procedures in the upper abdomen, including laparoscopy, which are not specified by any other anesthesia code.	20	$90	$2.1K
00813	The anesthesia provider performs anesthesia services for a patient undergoing both upper and lower intestinal endoscopy where the surgical provider introduces an endoscope into the intestines above…	30	$60	$1.6K
00811	The provider performs anesthesia services for a patient undergoing an unspecified lower intestinal endoscopic procedure where the surgical provider introduces an endoscope into the intestines up to…	30	$50	$1.5K
01922	The provider performs anesthesia services for a patient undergoing non–invasive imaging or radiation therapy.	20	$60	$1.4K
00537	The provider performs anesthesia services for a patient undergoing cardiac electrophysiologic procedures, such as mapping, pacing, recording, arrhythmia induction, lead testing, and similar services,…	10	$110	$1.3K
00670	The provider performs anesthesia services for a patient undergoing an extensive spine and spinal cord procedures including spinal instrumentation, where the provider implants plates and screws into…	20	$90	$1.3K

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

Claims Volume vs. Texas Distribution

Mark Simon — 1 of 19 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Texas

Full comparison — all codes billed, vs. state median

19 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
00670	209	400	20	$330	$7K
00537	264	330	20	$240	$5.6K
01402	184	910	20	$170	$4.2K
64447	393	610	20	$50	$3.6K
00811	724	2,110	20	$80	$3.2K
00790	40	530	10	$170	$2.7K
00813	395	1,220	20	$100	$2.7K
01916	26	60	20	$130	$2.6K
01922	151	530	20	$110	$2.5K
01938	191	410	20	$60	$2.4K

Showing 1–10 of 19

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Dfw Dental Team	TX	Pediatric Dentistry	$0	$15.6M
Kempo Lab LLC	TX	Clinical Medical Laboratory	$3.3M	$0
Labcare	TX	Clinical Medical Laboratory	$1.5M	$0
Steven Sloan	TX	Anesthesiology Physician	$386.5K	$0
Daniel Shalev	TX	Pain Medicine (Anesthesiology) Physician	$363.1K	$0
Gregory Stephens	TX	Nephrology Physician	$158.9K	$0
Michael Landgarten	TX	Nephrology Physician	$152.4K	$0
Adam Morgan	TX	Diagnostic Radiology Physician	$147.9K	$2.4K
Russell Silverstein	TX	Nephrology Physician	$128.9K	$0
Cindy Corpier	TX	Nephrology Physician	$123.8K	$0

Mark Simon — Billing Profile & Reimbursement Data

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Mark Simon — 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