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NPI 1780869578 · Brooklyn, NY · Foot & Ankle Surgery Podiatrist
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David Simon is a foot & ankle surgery podiatrist provider located in Brooklyn, New York. This profile covers 15 Medicare and 2 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 | David Simon |
| Address | 3131 Kings Highway |
| City | Brooklyn |
| State | NY |
| ZIP | 11234 |
| Taxonomy | Foot & Ankle Surgery Podiatrist |
| NPI Enumerated | December 31, 2007 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $399.4K |
| Medicaid | $4.7K |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
15 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| Q4227 | Amniocore, per square centimeter (add-on, list separately in addition to primary procedure) | 1,220 | $220 | $266.5K |
| 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… | 450 | $80 | $35.8K |
| 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… | 150 | $100 | $14.5K |
| 11056 | The provider removes 2 to 4 benign hyperkeratotic lesions by using surgical instruments like a scalpel or curette. | 180 | $70 | $13.4K |
| 97597 | The provider excises devitalized (dead) tissue from an open wound, choosing from a variety of techniques; treatment may include topical application of medicine or materials, wound assessment,… | 120 | $90 | $11.3K |
| 29580 | The provider applies an Unna boot, a spiral compression dressing, made of cotton and zinc oxide paste or other emollients, that keeps the skin moist and free of irritation while applying pressure to… | 130 | $80 | $11K |
| 15275 | The provider uses a skin substitute, such as an allograft or xenograft, to cover wounds on the face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits, up to… | 70 | $140 | $10.3K |
| 99222 | The 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… | 80 | $110 | $9.6K |
| 11721 | The provider surgically debrides (debulks or removes) 6 or more abnormal, diseased, or infected nails. | 220 | $40 | $8.6K |
| 99232 | The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or… | 90 | $70 | $6.2K |
Showing 1–10 of 15
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 15 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
15 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| Q4227 | 1 | 10 | 1,050 | $220 | $232.9K |
| 99214 | 26,097 | 30,450 | 90 | $100 | $19K |
| 11056 | 320 | 760 | 140 | $70 | $18.5K |
| 11721 | 697 | 1,270 | 260 | $40 | $16.1K |
| 99232 | 5,487 | 11,850 | 80 | $70 | $13.8K |
| 99213 | 2,806 | 31,440 | 80 | $70 | $12.1K |
| 97597 | 87 | 460 | 50 | $80 | $7.5K |
| 28003 | 2 | 10 | 30 | $290 | $7.5K |
| 15275 | 8 | 30 | 50 | $110 | $7.2K |
| 11720 | 628 | 660 | 120 | $30 | $7K |
Showing 1–10 of 15
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.
2 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 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… | 90 | $30 | $2.7K |
| 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… | 40 | $50 | $1.9K |
How this provider's Medicaid billing volume and revenue compare to other New York providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. New York median
2 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 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… | 13,207 | 19,110 | 360 | $70 | $321K |
| 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… | 3,341 | 4,700 | 130 | $100 | $136.6K |
Other providers in the same ZIP code as David Simon, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Americare, Inc. | NY | Home Health Agency | $0 | $686.1M |
| Beth Israel Medical Center | NY | General Acute Care Hospital | $0 | $278.9M |
| I & Y Senior Care, Inc. | NY | Home Health Agency | $0 | $241.8M |
| Americare Certified Special Services, Inc. | NY | Home Health Agency | $0 | $79.4M |
| 24/7 Homecare Agency Of Ny, Inc | NY | Home Health Agency | $0 | $78.7M |
| Americare, Inc. | NY | Home Health Agency | $0 | $64.5M |
| Rishavena Home Health Care Agency Inc. | NY | Home Health Agency | $0 | $30.4M |
| I & Y Senior Care, Inc. | NY | Home Health Agency | $0 | $29.3M |
| Ep Home Care LLC | NY | Home Health Agency | $0 | $22.8M |
| Amedix Laboratory | NY | Clinical Medical Laboratory | $8.9M | $237.5K |
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