Dr. Eric Simon, MD
14181 Business Center DR Nw, Elk River, MN 55330 • +1-468-555-4584
Medical Education: Accredited U.S. Medical School (Class of 2014)
What This Doctor Actually Performs: CMS Medicare Utilization & Elk River Percentiles
NPI #1134189095 • CBSA Regional • Family Practice
Dr. Eric Simon, MD (NPI #1134189095) practices Family Practice in Elk River, MN (55330) with sub-specialty concentration in 140 Active CMS HCPCS Codes, recording 2,676 annual CMS services across 255 distinct beneficiaries—placing this practice as a upper-quartile active clinical volume (87.5th Elk River percentile) (+0.26σ vs MN state mean, 84.98th statewide percentile).
Fee-schedule auditing of NPI 1134189095 highlights 1045 annual claims for 99214 (87.5th Elk River percentile; $58–$80 self-pay corridor) plus 771 encounters under 99213 and 299 under G0439.
Uninsured and high-deductible cash patients visiting Dr. Eric Simon in Elk River (55330) face an estimated $209.00 initial evaluation fee at 14181 Business Center DR Nw (hybrid in-clinic and telehealth video consults; 19-minute average reception wait; bedside manner 4.56/5 from 13 verified reports).
NPI registry verification (#1134189095) confirms Dr. Eric Simon's MD standing serving CBSA 55330 with a 4.70/5 patient scorecard.
Compared against Elk River, MN Family Practice peers
2,676 annual services across 255 beneficiaries
Standard deviations from MN Family Practice mean utilization
Top Billed HCPCS/CPT Procedures & GPCI Self-Pay Cash Benchmarks
| HCPCS | Clinical Procedure Description | Annual Volume | Local Pct | Est. Cash Range |
|---|---|---|---|---|
| 99214 | Comprehensive Primary Care & Chronic Protocol Management | 1,045 | 87.5th | $58 – $80 |
| 99213 | Focused Acute & Preventive Primary Care Evaluation | 771 | 88.5th | $44 – $61 |
| G0439 | Annual Wellness Biomarker & Preventive Screening Visit | 299 | 91.5th | $67 – $91 |
| 36415 | Routine Venipuncture Blood Biomarker Collection | 224 | 88.5th | $25 – $40 |
| 99204 | New Patient Primary Care Intake & Diagnostic Plan | 149 | 90.5th | $80 – $109 |
| 96372 | Therapeutic Subcutaneous/Intramuscular Injection Administration (140 HCPCS billing breadth) | 188 | 87.5th | $52 – $75 |
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Dr. Eric Simon, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Simon National Provider Identifier | NPI #1134189095 (MD) | CMS NPPES Registry (55330) |
| Dr. Simon Elk River CMS Volume Rank | 87.50th Pct (2,676 CMS svcs; Z +0.264σ) | CMS Medicare Part B (MN Family Practice) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Elk River, MN) |
| Waiting-Room Wait Time & Cash Friendliness | $209.00 avg paid • 19 min lobby wait | 13 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.56/5 Listening • 4.85/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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