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

Why is the Medicaid comparison limited to New York 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. New York (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.

Batya Simon (NPI 1851816730)

Field	Value
Entity Type	Individual
Organization	Batya Simon
Address	8315 Lefferts Blvd Apt 4l
City	Kew Gardens
State	NY
ZIP	11415
Taxonomy	Physician Assistant
NPI Enumerated	August 11, 2017

Payer Source	Total Paid
Medicare	$36.2K
Medicaid	$0

Medicare: Complete Services Breakdown

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

4 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99308	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a low level of medical decision making and/or the provider…	390	$50	$20K
43762	The provider removes a previously placed gastrostomy tube and replaces it without imaging guidance or gastrostomy tract revision. The replacement may be routine or necessary to replace a dislodged or…	40	$170	$6.2K
99304	The provider sees a patient for an initial nursing facility care visit involving evaluation and management (E/M). The visit involves straightforward or low medical decision making or the provider…	110	$60	$6K
99307	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making or the…	140	$30	$3.9K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 4 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. New York Distribution

Batya Simon — 0 of 4 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — New York

Full comparison — all codes billed, vs. state median

4 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99308	935	2,360	250	$60	$44.9K
99307	357	1,000	80	$30	$8K
99304	112	380	50	$70	$8K
43762	10	40	20	$140	$4.4K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Eric Berkowitz	NY	Vascular & Interventional Radiology Physician	$2.6M	$1.2M
Eliezer Halpert	NY	Vascular & Interventional Radiology Physician	$1M	$816.2K
Edward Esses	NY	Vascular & Interventional Radiology Physician	$1.3M	$10.3K
Joel Wolf	PA	Vascular & Interventional Radiology Physician	$1.3M	$4.7K
Abraham Knoll	NY	Vascular & Interventional Radiology Physician	$1M	$150.4K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
York Healthcare, LLC	NY	Home Health Agency	$0	$98.2M
York Healthcare	NY	Home Health Agency	$0	$56.6M
Lynn Agency, Inc.	NY	Home Health Agency	$0	$42.1M
Beverly's Home Health Care Inc	NY	Home Health Agency	$0	$25.4M
Marian David	NY	Cardiovascular Disease Physician	$348.5K	$8.3M
Jeffrey Weinberg	NY	Dermatology Physician	$273.5K	$1.4M
Markiel Yakubov	NY	Optometrist	$284.4K	$507.4K
Chaim Moeller	NY	Clinical Cardiac Electrophysiology Physician	$158.9K	$265.3K
Lana Schikman	NY	Podiatrist	$157.7K	$189.4K
Philippa Cheetham	NY	Urology Physician	$200K	$3.6K

Batya Simon — Billing Profile & Reimbursement Data

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Batya Simon — 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