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

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

Elise Simons (NPI 1760692198)

Field	Value
Entity Type	Individual
Organization	Elise Simons
Address	1560 N 115th St Ste 101
City	Seattle
State	WA
ZIP	98133
Taxonomy	Gynecologic Oncology Physician
NPI Enumerated	May 23, 2007

Payer Source	Total Paid
Medicare	$40K
Medicaid	$0

Medicare: Complete Services Breakdown

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

9 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
58571	The provider incises all of the uterine, ovarian, and cervical connections through a laparoscope, and removes the uterus, cervix, and fallopian tubes, with or without the ovaries via the trocar ports…	20	$790	$15K
99215	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…	60	$110	$6.5K
99205	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the provider…	40	$150	$6K
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…	40	$80	$3.4K
38570	The provider makes small incisions and inserts a laparoscope, or camera, and then inserts tools to sample one or more lymph nodes in the retroperitoneum to stage cancer in the retroperitoneum and…	10	$220	$3.1K
38900	The provider injects a nonradioactive dye into the tissues surrounding the lymph nodes. The provider examines the lymph nodes during the procedure to detect the presence of disease and identify the…	10	$170	$2.2K
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…	20	$100	$1.9K
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…	20	$50	$1.2K
G2212	Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary…	20	$30	$500

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 9 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Washington Distribution

Elise Simons — 0 of 9 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Washington

Full comparison — all codes billed, vs. state median

9 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	8,001	10,860	100	$80	$13.6K
58571	8	20	10	$470	$8.5K
99215	1,439	4,320	40	$120	$8.4K
99213	7,938	9,690	60	$60	$6.5K
99205	493	1,820	30	$150	$5.4K
99204	3,224	4,750	30	$110	$5.2K
38570	6	10	20	$140	$2.7K
38900	34	50	20	$110	$2.3K
G2212	229	290	40	$30	$1.6K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
University Of Washington	WA	General Acute Care Hospital	$0	$129.5M
The Association Of University Physicians	WA	Anesthesiology Physician	$0	$66.3M
University Of Washington	WA	Clinical Medical Laboratory	$1.5M	$36.6M
Uw School Of Dentistry	WA	Dentist	$0	$23.4M
Uw Medicine Northwest	WA	General Acute Care Hospital	$0	$5.7M
University Of Washington	WA	Oral and Maxillofacial Surgery (Dentist)	$0	$2.7M
Ariel Tyring	WA	Ophthalmology Physician	$1.5M	$0
University Of Utah Specialty Services	UT	Maternal & Fetal Medicine Physician	$0	$1.4M
University Of Utah Specialty Services	UT	Physical Medicine & Rehabilitation Physician	$0	$1.1M
Yuli Mccann	WA	Rheumatology Physician	$469.6K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Neighborcare Health	WA	Federally Qualified Health Center (FQHC)	$0	$16.2M
International Community Health Services	WA	Federally Qualified Health Center (FQHC)	$0	$11.5M
Shoreline Fire Department	WA	Land Ambulance	$350.3K	$10.2M
Northwest Kidney Centers	WA	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$3.7M
Therapeutic Health Services	WA	Methadone Clinic	$0	$3.3M
David Drucker	WA	Retina Specialist (Ophthalmology) Physician	$1.8M	$0
Sharel Ongchin	WA	Ophthalmology Physician	$1.3M	$0
Kristi Bailey	WA	Ophthalmology Physician	$937.7K	$0
Vinod Doreswamy	WA	Allergy & Immunology Physician	$702.1K	$0
Megan Shaw	WA	Rheumatology Physician	$466.2K	$0

Elise Simons — Billing Profile & Reimbursement Data

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Elise Simons — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References