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NPI 1598771834 · Los Angeles, CA · Legal Medicine
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Simon Simonian is a legal medicine provider located in Los Angeles, California. This profile covers 12 Medicare and 20 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)
| Field | Value |
|---|---|
| Entity Type | Individual |
| Organization | Simon Simonian |
| Address | 7080 Hollywood Blvd Ste 919 |
| City | Los Angeles |
| State | CA |
| ZIP | 90028 |
| Taxonomy | Legal Medicine |
| NPI Enumerated | July 31, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $412.1K |
| Medicare | $202.9K |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
12 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 31525 | The provider uses a laryngoscope to look directly inside the larynx, which is the voice box, to detect any abnormality. He may or may not perform tracheoscopy to visualize the trachea, which is the… | 490 | $210 | $101.1K |
| 31231 | In this procedure, the provider inserts an endoscope into the nasal cavity to examine the structures of the nasal cavity on one or both sides. | 340 | $90 | $29.7K |
| 69222 | The provider cleans out the cavity left by a mastoidectomy; the procedure requires anesthesia or more extensive debridement than normal. Patients sometimes require one or more debridement procedures… | 70 | $200 | $13.6K |
| 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… | 170 | $80 | $12.8K |
| 92557 | The provider assesses a patient’s hearing with a series of tones at varying intensities to identify the softest level at which the patient can hear. He also measures the patient’s ability to… | 280 | $30 | $8.8K |
| 30903 | The provider uses a complex or extensive approach to stop a heavy nosebleed caused by a vessel in the front area of the nose. | 50 | $170 | $8.4K |
| 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… | 160 | $50 | $8.4K |
| 99212 | The 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,… | 220 | $30 | $7.2K |
| 94060 | The spirometry test is performed with a spirometer. The instrument displays a graphical representation, known as a spirogram, of the test results. The basic forced volume vital capacity (FVC) test is… | 140 | $40 | $4.8K |
| G0268 | Removal of impacted cerumen (one or both ears) by physician on same date of service as audiologic function testing | 170 | $20 | $3.8K |
Showing 1–10 of 12
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 12 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
12 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| 31525 | 3 | 30 | 40 | $130 | $180.6K |
| 31231 | 43 | 540 | 70 | $100 | $20.1K |
| 99213 | 11,016 | 34,660 | 80 | $70 | $13.2K |
| 69222 | 1 | 10 | 30 | $200 | $7.7K |
| 30903 | 2 | 30 | 20 | $220 | $5.3K |
| 92557 | 105 | 600 | 120 | $30 | $4.8K |
| 99203 | 782 | 12,740 | 30 | $80 | $4.6K |
| 99212 | 579 | 7,970 | 30 | $40 | $3.4K |
| 92504 | 193 | 320 | 60 | $20 | $2.8K |
| G0268 | 14 | 130 | 30 | $40 | $2.7K |
Showing 1–10 of 12
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
Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
20 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 31525 | The provider uses a laryngoscope to look directly inside the larynx, which is the voice box, to detect any abnormality. He may or may not perform tracheoscopy to visualize the trachea, which is the… | 3,480 | $50 | $166.8K |
| 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… | 2,900 | $20 | $63.8K |
| 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… | 1,200 | $30 | $32.3K |
| 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… | 1,370 | $20 | $27.4K |
| 31231 | In this procedure, the provider inserts an endoscope into the nasal cavity to examine the structures of the nasal cavity on one or both sides. | 2,440 | $10 | $24.4K |
| 31237 | In this procedure, the provider inserts an endoscope into the nasal cavity. She examines the nasal contents. The provider then performs a nasal biopsy, polypectomy, or debridement. | 1,000 | $20 | $22.1K |
| 92557 | The provider assesses a patient’s hearing with a series of tones at varying intensities to identify the softest level at which the patient can hear. He also measures the patient’s ability to… | 1,470 | $20 | $22.1K |
| 92567 | In this procedure, the provider measures the functioning of the middle ear by varying the pressure of air presented to the ear to identify the reason for hearing loss. | 1,890 | $10 | $17K |
| 94060 | The spirometry test is performed with a spirometer. The instrument displays a graphical representation, known as a spirogram, of the test results. The basic forced volume vital capacity (FVC) test is… | 1,000 | $10 | $13K |
| 99244 | The provider sees a patient for an office or other outpatient consultation involving evaluation and management (E/M). The E/M involves a moderate level of medical decision making or the provider… | 520 | $20 | $9.9K |
Showing 1–10 of 20
How this provider's Medicaid billing volume and revenue compare to other California providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. California median
20 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 31525 | The provider uses a laryngoscope to look directly inside the larynx, which is the voice box, to detect any abnormality. He may or may not perform tracheoscopy to visualize the trachea, which is the… | 2 | 10 | 300 | $50 | $659.3K |
| 31231 | In this procedure, the provider inserts an endoscope into the nasal cavity to examine the structures of the nasal cavity on one or both sides. | 17 | 170 | 200 | $80 | $124.2K |
| 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… | 4,186 | 14,520 | 760 | $10 | $122.8K |
| 31237 | In this procedure, the provider inserts an endoscope into the nasal cavity. She examines the nasal contents. The provider then performs a nasal biopsy, polypectomy, or debridement. | 3 | 20 | 60 | $220 | $76.1K |
| 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… | 1,077 | 5,870 | 180 | $70 | $73K |
| 99244 | The provider sees a patient for an office or other outpatient consultation involving evaluation and management (E/M). The E/M involves a moderate level of medical decision making or the provider… | 191 | 770 | 130 | $90 | $64K |
| 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… | 901 | 5,590 | 180 | $50 | $62.4K |
| 92557 | The provider assesses a patient’s hearing with a series of tones at varying intensities to identify the softest level at which the patient can hear. He also measures the patient’s ability to… | 83 | 340 | 360 | $40 | $47.5K |
| 99212 | The 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,… | 3,888 | 5,600 | 440 | $10 | $44.4K |
| 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. | 102 | 150 | 130 | $70 | $38.5K |
Showing 1–10 of 20
Other providers in the same ZIP code as Simon Simonian, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Los Angeles Lgbt Center | CA | Federally Qualified Health Center (FQHC) | $0 | $72M |
| Mark Lensky | CA | Clinical Cardiac Electrophysiology Physician | $493.2K | $2.7K |
| Vladislav Shut | CA | Physical Therapist | $208.4K | $0 |
| Ernest Shmidt | CA | Anesthesiology Physician | $89K | $0 |
| Alexander Marmureanu | CA | Surgery Physician | $56.3K | $0 |
| Alexis Nixon | CA | Medical Physician Assistant | $21.1K | $0 |
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