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

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

Simeon Dialysis LLC (NPI 1871862730)

Field	Value
Entity Type	Organization
Organization	Simeon Dialysis LLC
Address	11 Getty Ave
City	Paterson
State	NJ
ZIP	07503
Taxonomy	End-Stage Renal Disease (ESRD) Treatment Clinic/Center
NPI Enumerated	December 22, 2011

Payer Source	Total Paid
Medicaid	$12.9M
Medicare	$0

Medicaid: Complete Services Breakdown

Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

25 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
90999	Use 90999 to report dialysis services or procedures that do not have a specific code.	94,530	$120	$11.2M
Q4081	Injection, epoetin alfa, 100 units (for esrd on dialysis)	47,510	$20	$855.1K
J1270	Injection, doxercalciferol, 1 mcg	36,000	$10	$288K
J1756	Injection, iron sucrose, 1 mg	14,050	$10	$112.4K
90945	The provider evaluates the patient and chooses one of several methods to perform dialysis, except hemodialysis.	2,280	$30	$75.2K
A4657	Syringe, with or without needle, each	22,510	$1	$67.5K
85041	The lab analyst analyzes a sample of the patient’s blood on a slide and uses an automated system to determine the number of red blood cells present.	2,750	$20	$41.3K
85048	The lab analyst evaluates a sample of the patient’s blood on a slide and uses an automated system to determine the number of white blood cells present.	2,730	$20	$41K
J0604	Cinacalcet, oral, 1 mg, (for esrd on dialysis)	540	$60	$32.8K
83970	Parathyroid hormone test measures the level of PTH in the blood. This test is done to ascertain the level of calcium and evaluate the parathyroid function.	2,230	$10	$26.8K

Showing 1–10 of 25

Medicaid: Competitive Analysis & Benchmarks

How this provider's Medicaid billing volume and revenue compare to other New Jersey providers billing the same CPT/HCPCS codes.

Claims Volume vs. New Jersey Distribution

Simeon Dialysis LLC — 4 of 22 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — New Jersey

Full comparison — all codes billed, vs. New Jersey median

25 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
90999	Use 90999 to report dialysis services or procedures that do not have a specific code.	1	180	14,510	$70	$1.2M
82306	The lab analyst measures the vitamin D level, typically on a serum specimen. This analyte, commonly known as vitamin D, is not really a vitamin, but is an important steroid hormone that is produced…	114	140	870	$10	$605.2K
OP250	N/A	117	170	15,310	$10	$424.7K
Q4081	Injection, epoetin alfa, 100 units (for esrd on dialysis)	1	70	5,500	$20	$220.5K
90945	The provider evaluates the patient and chooses one of several methods to perform dialysis, except hemodialysis.	2	10	4,460	$30	$137.2K
J1270	Injection, doxercalciferol, 1 mcg	1	90	3,900	$20	$120.9K
A4657	Syringe, with or without needle, each	26	180	4,530	$10	$108.7K
83970	Parathyroid hormone test measures the level of PTH in the blood. This test is done to ascertain the level of calcium and evaluate the parathyroid function.	36	210	530	$20	$66.6K
82728	The lab analyst measures the level of ferritin, an important protein composed of about 20 percent iron. Ferritin also acts as an iron reserve in the body, and is present in serum in only minute…	62	270	550	$10	$59.2K
83540	The lab analyst measures the iron level, primarily in serum. Iron is one of the essential elements in the body, and the greatest portion is present combined with hemoglobin within the red blood cells.	87	260	730	$1	$39.8K

Showing 1–10 of 25

Nearby Providers

Other providers in the same ZIP code as Simeon Dialysis LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
St Josephs University Medical Center Inc.	NJ	General Acute Care Hospital	$0	$322.3M
St. Joseph's Healthcare, Inc.	NJ	Internal Medicine Physician	$0	$31.7M
St. Joseph's Emergency Physicians Inc	NJ	Emergency Medical Services (Emergency Medicine) Physician	$0	$24.2M
Fayrouz Pediatric LLC	NJ	Pediatrics Physician	$0	$13.3M
St. Josephs Hospital And Medical Center	NJ	Mental Illness Community Based Residential Treatment Facility	$0	$13.2M
St Josephs Medical Group PC	NJ	Internal Medicine Physician	$0	$10.1M
Imaging Subspecialists Of North Jersey, LLC	NJ	Diagnostic Radiology Physician	$0	$7.5M
Ellsworth Wright	NJ	Emergency Medicine Physician	$247.3K	$0
Orestes Sanchez	NJ	Diagnostic Radiology Physician	$225.5K	$0
Edward Milman	NJ	Diagnostic Radiology Physician	$221.9K	$0

Simeon Dialysis LLC — Billing Profile & Reimbursement Data

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Simeon Dialysis LLC — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References