Dr. Michael Simon, MD
1030 President Ave Ste 210, Fall River, MA 02720 • +1-602-555-4069
Medical Education: Accredited U.S. Medical School (Class of 2004)
What This Doctor Actually Performs: CMS Medicare Utilization & Fall River Percentiles
NPI #1366896912 • CBSA Regional • Pulmonary Disease
CMS Medicare Part B utilization records credit Dr. Michael Simon (MD, NPI 1366896912) at 1030 President Ave Ste 210 in Fall River with 1,060 annual clinical services (429 beneficiaries), corresponding to a -0.40σ regional deviation and focused low-volume boutique caseload (13.33th Fall River percentile) with sub-specialty concentration in 34 Active CMS HCPCS Codes.
Among 5 tracked CMS fee-schedule codes for Dr. Simon (averaging 2.5 services per beneficiary), 99214 (Established Pulmonary, Asthma & COPD Management) represents 41% of tracked volume (435 encounters), paired with 94060 (244x).
For out-of-network patients contacting +1-602-555-4069, Dr. Simon's practice posts a $224.00 GPCI self-pay consult estimate ($224.00 patient-logged median, 4.79/5 composite reality score over 18 submissions).
NPI registry verification (#1366896912) confirms Dr. Michael Simon's MD standing serving CBSA 02720 with a 4.79/5 patient scorecard.
Compared against Fall River, MA Pulmonary Disease peers
1,060 annual services across 429 beneficiaries
Standard deviations from MA Pulmonary Disease mean utilization
Top Billed HCPCS/CPT Procedures & GPCI Self-Pay Cash Benchmarks
| HCPCS | Clinical Procedure Description | Annual Volume | Local Pct | Est. Cash Range |
|---|---|---|---|---|
| 99214 | Established Pulmonary, Asthma & COPD Management | 435 | 13.33th | $205 – $281 |
| 94060 | Pre- & Post-Bronchodilator Spirometry Airflow Evaluation | 244 | 16.33th | $134 – $183 |
| 94729 | Alveolar Carbon Monoxide Diffusing Capacity (DLCO) | 180 | 18.33th | $121 – $166 |
| 95810 | Attended Sleep Apnea Polysomnography Interpretation | 117 | 12th | $374 – $513 |
| 99204 | Comprehensive New Patient Respiratory & Sleep Workup | 85 | 12th | $289 – $396 |
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Dr. Michael Simon, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Simon National Provider Identifier | NPI #1366896912 (MD) | CMS NPPES Registry (02720) |
| Dr. Simon Fall River CMS Volume Rank | 13.33th Pct (1,060 CMS svcs; Z -0.398σ) | CMS Medicare Part B (MA Pulmonary Disease) |
| Fair Cash-Pay New-Patient Benchmark | $224.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Fall River, MA) |
| Waiting-Room Wait Time & Cash Friendliness | $224.00 avg paid • 14 min lobby wait | 18 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.74/5 Listening • 4.53/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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