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

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

Hector Simosa (NPI 1750486130)

Field	Value
Entity Type	Individual
Organization	Hector Simosa
Address	85 Lincoln St Ste T4002
City	Framingham
State	MA
ZIP	01702
Taxonomy	Vascular Surgery Physician
NPI Enumerated	September 13, 2006

Payer Source	Total Paid
Medicare	$266.2K
Medicaid	$0

Medicare: Complete Services Breakdown

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

28 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
37225	N/A	20	$6,210	$105.6K
37228	N/A	10	$2,500	$29.9K
37252	In this add–on procedure, the provider inserts a specially designed catheter with an ultrasound transducer, a device that sends high–frequency sound waves through the tissues and detects their…	30	$740	$19.9K
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…	290	$60	$17.4K
36902	The provider introduces a needle and/or catheter under fluoroscopic guidance (live X–rays that can be viewed on a monitor) and injects contrast material into the dialysis access point to visualize…	20	$880	$13.2K
93880	Duplex scanning of arteries for the evaluation of blood flow is a type of non–invasive vascular diagnostic process. A physician can visualize and selectively assess the flow patterns of peripheral…	80	$120	$9.4K
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…	70	$120	$8.1K
93971	The provider performs an ultrasound scanning procedure called a duplex scan to characterize the pattern and direction of blood flow in extremity veins (arm or leg). This is a unilateral or limited…	90	$80	$7.4K
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…	80	$90	$7.3K
93926	The provider performs a duplex ultrasound scan of the lower extremity arteries or bypass grafts. Providers perform noninvasive arterial diagnostic procedures to examine the rate of blood flow and to…	70	$100	$6.7K

Showing 1–10 of 28

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 28 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Massachusetts Distribution

Hector Simosa — 0 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Massachusetts

Full comparison — all codes billed, vs. state median

28 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
37225	7	10	20	$5,890	$147.3K
37252	14	20	40	$720	$36.1K
37228	8	10	20	$990	$17.9K
36902	26	30	20	$440	$15.9K
99214	9,073	15,410	110	$80	$15.6K
11042	236	250	100	$60	$11.5K
99213	1,785	13,700	70	$60	$8.8K
99223	4,117	4,430	30	$140	$7.6K
93880	123	360	50	$70	$6.1K
99204	1,342	5,870	30	$120	$5.6K

Showing 1–10 of 28

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Beth Israel Deaconess Medical Center, Inc.	MA	General Acute Care Hospital	$0	$270.4M
Robert Najarian	MA	Anatomic Pathology Physician	$520.7K	$878.6K
Irene Piryatinsky	MA	Psychologist	$169.6K	$1M
Alireza Sepehr	MA	Anatomic Pathology & Clinical Pathology Physician	$1.2M	$1000
Daniel Gorin	MA	Surgery Physician	$1.1M	$0
Megan Nichols	KS	Ophthalmology Physician	$1M	$0
Stephen Lyle	MA	Anatomic Pathology Physician	$852.2K	$40.3K
Joseph Raevis	NJ	Ophthalmology Physician	$874.9K	$500
Anh Ngo	NH	Interventional Pain Medicine Physician	$815.5K	$0
Herman Lu	CA	Cardiovascular Disease Physician	$789.4K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Commonwealth Of Massachusetts	MA	Case Management Agency	$0	$350.2M
Vhs Acquisition Subsidiary Number 9 Inc	MA	General Acute Care Hospital	$0	$58.9M
South Middlesex Opportunity Council Inc	MA	Community/Behavioral Health Agency	$0	$37.4M
New England Family Dental PC	MA	Point of Service	$0	$14.6M
Justice Resource Institute, Inc.	MA	Developmentally Disabled Services Day Training Agency	$0	$14.2M
Advanced Home Care Services LLC	MA	Home Health Agency	$0	$12.4M
New Horizons Medical, Inc.	MA	Addiction (Substance Use Disorder) Counselor	$0	$11.7M
Robert Johnston	MA	Psychiatry Physician	$10.9K	$11M
Hdc Care Solutions, LLC	MA	Nurse Practitioner	$0	$8M
Alec H. Jaret, Dmd, PC	MA	Dentist	$0	$7.3M

Hector Simosa — Billing Profile & Reimbursement Data

Sign up for Hector Simosa — Billing Profile & Reimbursement Data policy alerts

Hector Simosa — Billing Profile & Reimbursement Data

Sign up for Hector Simosa — Billing Profile & Reimbursement Data policy alerts

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References