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    OpenPayerNPI Medicare & MedicaidSimon Becker
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    Simon Becker — Billing Profile & Reimbursement Data

    NPI 1982605697 · West Orange, NJ · Podiatrist

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    Simon Becker is a podiatrist provider located in West Orange, New Jersey. This profile covers 29 Medicare and 40 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)

    FieldValue
    Entity TypeIndividual
    OrganizationSimon Becker
    Address667 Eagle Rock Ave
    CityWest Orange
    StateNJ
    ZIP07052
    TaxonomyPodiatrist
    NPI EnumeratedAugust 3, 2005

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

    Payer SourceTotal Paid
    Medicaid$1.2M
    Medicare$628.3K

    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.

    29 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    11730The provider removes part or all of a single nail plate using simple avulsion techniques.930$100$90.7K
    11056The provider removes 2 to 4 benign hyperkeratotic lesions by using surgical instruments like a scalpel or curette.1,670$50$83.3K
    64450The provider injects an anesthetic agent, steroid, or both close to a peripheral nerve or branch not represented by another code. Report this code for one or more injections during a single procedure.1,100$60$69.1K
    11721The provider surgically debrides (debulks or removes) 6 or more abnormal, diseased, or infected nails.1,620$40$63.3K
    10060The provider incises the area of abscess and drains the collection of pus from a lesion, such as a carbuncle, hidradenitis, cyst, furuncle, or paronychia, with the help of surgical instruments. A…510$110$56.2K
    93923Noninvasive arterial diagnostic procedures are performed to examine the rate of blood flow in an area and to assess the presence of a blockage in the upper and lower extremity arteries.…520$100$51.8K
    99212The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…950$50$44.5K
    20550Aponeurosis is an abnormal sheet like extension of the tendon. Injection of a tendon or ligament is the medical therapeutic procedure to reduce the aponeurosis formation.1,090$30$35.8K
    11000The provider uses surgical instruments to debride the dead tissue in skin for up to 10 percent of the body surface.1,050$30$26.3K
    17000The provider destroys a premalignant lesion using techniques such as chemosurgery, cryosurgery, electrosurgery, or others. This code reports the destruction of the first or only lesion.590$30$19.3K

    Showing 1–10 of 29

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 29 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    29 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    992146,90413,640130$90$23.6K
    110561550150$70$17.2K
    1172127750310$40$15.9K
    11102368590120$70$14.2K
    992133,68914,090100$70$13.1K
    1700060600170$40$10.6K
    6445038030$50$9.8K
    11720322500180$30$8K
    992042,5207,16040$130$6.5K
    975977522060$70$6.4K

    Showing 1–10 of 29

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    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

    Medicaid: Complete Services Breakdown

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

    40 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    L3000Foot, insert, removable, molded to patient model, 'ucb' type, berkeley shell, each3,350$140$452.8K
    L3020Foot, insert, removable, molded to patient model, longitudinal/ metatarsal support, each3,120$80$262.2K
    11730The provider removes part or all of a single nail plate using simple avulsion techniques.5,030$10$70.3K
    99212The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…5,520$10$66.2K
    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…1,900$30$47.6K
    64450The provider injects an anesthetic agent, steroid, or both close to a peripheral nerve or branch not represented by another code. Report this code for one or more injections during a single procedure.4,020$10$36.2K
    93923Noninvasive arterial diagnostic procedures are performed to examine the rate of blood flow in an area and to assess the presence of a blockage in the upper and lower extremity arteries.…2,020$10$28.3K
    20550Aponeurosis is an abnormal sheet like extension of the tendon. Injection of a tendon or ligament is the medical therapeutic procedure to reduce the aponeurosis formation.4,220$10$25.3K
    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…530$40$22.8K
    11000The provider uses surgical instruments to debride the dead tissue in skin for up to 10 percent of the body surface.4,550$10$22.7K

    Showing 1–10 of 40

    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.

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

    40 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    L3000Foot, insert, removable, molded to patient model, 'ucb' type, berkeley shell, each12110340$200$461.3K
    L3002Foot, insert, removable, molded to patient model, plastazote or equal, each1420890$80$277.3K
    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…1,5464,450740$40$229.8K
    L3216Orthopedic footwear, ladies shoe, depth inlay, each43501,230$60$208K
    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…2,6683,790580$60$204K
    L3221Orthopedic footwear, mens shoe, depth inlay, each3740560$60$166.4K
    64450The provider injects an anesthetic agent, steroid, or both close to a peripheral nerve or branch not represented by another code. Report this code for one or more injections during a single procedure.21050$50$123.6K
    L3020Foot, insert, removable, molded to patient model, longitudinal/ metatarsal support, each330250$100$115.3K
    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…4231,460150$80$97.8K
    99212The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…1131,520260$40$71.9K

    Showing 1–10 of 40

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Dennis KwonNJVascular & Interventional Radiology Physician$2.7M$0
    David ZelmanNYDiagnostic Radiology Physician$580.2K$563.4K
    Wen FanNYAnatomic Pathology & Clinical Pathology Physician$1.1M$0
    Vipin GargNJPulmonary Disease Physician$1M$0
    Terrance LeeNJCardiovascular Disease Physician$690.6K$240.4K
    Anshu GargNJCardiovascular Disease Physician$759.9K$0
    Bikramjit SinghNJInternal Medicine Physician$753.6K$5K
    Boqing ChenNJPain Medicine (Physical Medicine & Rehabilitation) Physician$600K$0
    Jack BaldassareNJDiagnostic Radiology Physician$524.7K$62.2K
    Haeyang ChungNJInternal Medicine Physician$433.5K$40.3K

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Barnabas Health Medical Group, PCNJSpecialist$0$39.6M
    Anchor Behavioral Solutions LLCNJCommunity/Behavioral Health Agency$0$27.2M
    Vna Health Group Of New Jersey, LLCNJCommunity Based Hospice Care Agency$0$24.5M
    Premie Home Health Care Services, Inc.NJHome Health Agency$0$12.5M
    Mental Health Assn Of Essex And MorrisNJCase Management Agency$0$10.6M
    Vna Health Group Of New Jersey, LLCNJHome Health Agency$0$10.6M
    Kessler Institute For Rehabilitation IncNJRehabilitation Hospital$0$10.2M
    Rwjbh Primary Care ServicesNJInternal Medicine Physician$0$8.6M
    West Orange Board Of EducationNJLocal Education Agency (LEA)$0$8.2M
    Maxim Healthcare Services, Inc.NJHome Health Agency$0$8.1M

    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. New Jersey Distribution
    Simon Becker — 9 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — New Jersey
    Medicaid Revenue by Year vs. New Jersey Providers
    0 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. New Jersey Distribution
    Simon Becker — 9 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — New Jersey