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    OpenPayerNPI Medicare & MedicaidBrandon Simonetta
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    Brandon Simonetta — Billing Profile & Reimbursement Data

    NPI 1841711819 · Daytona Beach, FL · Orthopaedic Surgery Physician

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    Brandon Simonetta is a orthopaedic surgery physician provider located in Daytona Beach, Florida. This profile covers 11 Medicare and 0 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationBrandon Simonetta
    Address1865 Lpga Blvd
    CityDaytona Beach
    StateFL
    ZIP32117
    TaxonomyOrthopaedic Surgery Physician
    NPI EnumeratedJune 29, 2017

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicare$31.4K
    Medicaid$0

    Medicare: Total Revenue Breakdown by CPT/HCPCS Code

    Medicare revenue breakdown by CPT/HCPCS procedure code.

    View: Bar Chart1 / 2

    Medicare: Complete Services Breakdown

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

    11 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99214The 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$100$7.5K
    22633In this procedure the provider joins two adjoining lumbar vertebral bodies permanently, accessing the operative site with a combination of approaches for a better outcome. The provider performs this…10$340$3.7K
    99213The 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…50$70$3.6K
    99204The 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…30$120$3.4K
    99203The 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…30$90$2.9K
    63047The provider performs a laminectomy (excision of the thin bony plate at the back of a vertebra), facetectomy (excision of an area of a vertebra characterized by its smooth surface), and foraminotomy…10$180$2.5K
    22216The provider incises a vertebra, one of the interlocking bones in the spine, to remove portions of the bone, changing the alignment of the spinal column. This corrects an abnormal curvature in the…50$40$2.3K
    72114In this diagnostic service, the provider performs a complete radiological study of the lumbar spine. He performs a minimum of six views that include the bending views of the spine.40$50$2K
    22853The provider inserts a metallic cage or mesh device between two vertebrae and may use screws or flanges to attach it to the front part of the vertebrae; the device maintains the disc space, provides…20$60$1.2K
    72050In this diagnostic procedure, the provider performs four to five X–ray views of the cervical spine. The provider performs this cervical radiological study to examine the spine for conditions…30$40$1.1K

    Showing 1–10 of 11

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 11 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    11 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    9921420,95132,760140$90$25K
    2263312112020$980$24.4K
    6304722430020$610$16.5K
    9921319,01330,01080$60$12K
    2221631030$260$10.5K
    2285327433040$150$7.3K
    9920411,64919,04040$110$7K
    992036,10011,72040$70$4.4K
    7211049090030$30$1.9K
    721145217030$40$1.7K

    Showing 1–10 of 11

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Brian HattenFLOrthopaedic Surgery Physician$225.2K$0
    Christopher MatthewsFLOrthopaedic Surgery Physician$204.1K$0
    Malcolm GottlichFLOrthopaedic Surgery Physician$130K$0
    Jake WojciechowskiMIOccupational Therapist$18.9K$0
    Alison HartFLPhysician Assistant$14.2K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Memorial Health Systems IncFLRehabilitation Hospital Unit$0$17.6M
    Dna Comprehensive Therapy Services, LLCFLMental Health Clinic/Center (Including Community Mental Health Center)$0$17.5M
    Maxim Healthcare Services, Inc.FLHome Health Agency$0$17.2M
    Pediatric Services Of America, LLCFLNursing Care Agency$0$15.4M
    County Of VolusiaFLLand Ambulance$4.4M$8.4M
    Worc Oriented Rehabilitation Center Inc.FLIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility$0$11.8M
    Memorial Health Systems IncFLSurgery Physician$0$7.4M
    Yong TsaiFLRheumatology Physician$1.6M$0
    Eric HarrisFLMedical Oncology Physician$1.5M$0
    Kambiz ShamlouFLDiagnostic Radiology Physician$1.4M$0

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Florida Distribution
    Brandon Simonetta — 0 of 11 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Florida