Dr. Matthew Simons, MD
1630 E Herndon Ave, Fresno, CA 93720 • +1-227-555-8292
Medical Education: Accredited U.S. Medical School (Class of 2007)
What This Doctor Actually Performs: CMS Medicare Utilization & Fresno Percentiles
NPI #1689816266 • CBSA Regional • Orthopedic Surgery
Within the Fresno, CA (CBSA local) Orthopedic Surgery cohort, Dr. Matthew Simons, MD with sub-specialty concentration in 72 Active CMS HCPCS Codes ranks at the 68.42th municipal percentile and 98.79th CA percentile (+3.15σ Z-score) based on 40,585 billed procedures for 861 patients.
Granular CPT/HCPCS billing distribution at 1630 E Herndon Ave shows Dr. Matthew Simons's primary concentration in Focused Orthopedic Joint & Spine Mobility Evaluation (code 99213: 1380x/yr, 68.42th local percentile) alongside Major Joint (Knee/Shoulder/Hip) Aspiration or Injection (20610: 1035x/yr, $42–$58).
Cash-pay intake data for NPI 1689816266 (1630 E Herndon Ave, Fresno) indicates $239.00 typical out-of-pocket visit spend against a $239.00 locality benchmark, paired with 12-minute average reception wait and 4.79/5 biomarker openness.
Credentialed as an MD specialist with 19 years post-graduation experience since completing medical school at an LCME/COCA institution (2007), Dr. Simons coordinates 72 Active CMS HCPCS Codes workups from 1630 E Herndon Ave (+1-227-555-8292).
Compared against Fresno, CA Orthopedic Surgery peers
40,585 annual services across 861 beneficiaries
Standard deviations from CA Orthopedic Surgery mean utilization
Top Billed HCPCS/CPT Procedures & GPCI Self-Pay Cash Benchmarks
| HCPCS | Clinical Procedure Description | Annual Volume | Local Pct | Est. Cash Range |
|---|---|---|---|---|
| 99213 | Focused Orthopedic Joint & Spine Mobility Evaluation | 1,380 | 68.42th | $40 – $55 |
| 20610 | Major Joint (Knee/Shoulder/Hip) Aspiration or Injection | 1,035 | 68.42th | $42 – $58 |
| 73562 | Radiologic Weight-Bearing 3-View Knee Examination | 728 | 72.42th | $25 – $40 |
| 99203 | New Patient Musculoskeletal Injury & Surgical Triage | 422 | 72.42th | $57 – $78 |
| 27447 | Total Knee Arthroplasty Joint Reconstruction | 268 | 64.42th | $366 – $502 |
| 96372 | Therapeutic Subcutaneous/Intramuscular Injection Administration (72 HCPCS billing breadth) | 36,751 | 68.42th | $45 – $65 |
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Dr. Matthew Simons, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Simons National Provider Identifier | NPI #1689816266 (MD) | CMS NPPES Registry (93720) |
| Dr. Simons Fresno CMS Volume Rank | 68.42th Pct (40,585 CMS svcs; Z +3.149σ) | CMS Medicare Part B (CA Orthopedic Surgery) |
| Fair Cash-Pay New-Patient Benchmark | $239.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Fresno, CA) |
| Waiting-Room Wait Time & Cash Friendliness | $239.00 avg paid • 12 min lobby wait | 24 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.81/5 Listening • 4.79/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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