Dr. Susan Simon, MD
560 Springfield Ave, Westfield, NJ 07090 • +1-845-555-5309
Medical Education: Accredited U.S. Medical School (Class of 1994)
What This Doctor Actually Performs: CMS Medicare Utilization & Westfield Percentiles
NPI #1093704777 • CBSA Regional • Internal Medicine
Statistical peer benchmarking across NJ Internal Medicine providers positions Dr. Susan Simon, MD in Westfield at +0.17σ (75th city percentile / 85.23th state percentile, 354 Medicare beneficiaries), with clinical focus spanning 106 Active CMS HCPCS Codes.
Fee-schedule auditing of NPI 1093704777 highlights 1234 annual claims for 99214 (75th Westfield percentile; $91–$125 self-pay corridor) plus 713 encounters under 99213 and 356 under 93000.
Uninsured and high-deductible cash patients visiting Dr. Susan Simon in Westfield (07090) face an estimated $209.00 initial evaluation fee at 560 Springfield Ave (hybrid in-clinic and telehealth video consults; 10-minute average reception wait; bedside manner 4.95/5 from 14 verified reports).
From 560 Springfield Ave in Westfield (+1-845-555-5309), Dr. Simon, MD (32-year clinical track record) delivers 106 Active CMS HCPCS Codes care.
Compared against Westfield, NJ Internal Medicine peers
3,772 annual services across 354 beneficiaries
Standard deviations from NJ Internal Medicine mean utilization
Top Billed HCPCS/CPT Procedures & GPCI Self-Pay Cash Benchmarks
| HCPCS | Clinical Procedure Description | Annual Volume | Local Pct | Est. Cash Range |
|---|---|---|---|---|
| 99214 | Moderate-to-High Complexity Internal Medicine Follow-Up | 1,234 | 75th | $91 – $125 |
| 99213 | Established Preventive & Chronic Care Visit | 713 | 80th | $70 – $95 |
| 93000 | In-Office 12-Lead Resting Electrocardiogram | 356 | 74th | $33 – $48 |
| G0439 | Annual Preventive Wellness & Cardiometabolic Risk Assessment | 274 | 75th | $107 – $146 |
| 99204 | Comprehensive New Patient Internal Medicine Diagnostic Visit | 165 | 72th | $127 – $174 |
| 96372 | Therapeutic Subcutaneous/Intramuscular Injection Administration (106 HCPCS billing breadth) | 1,030 | 75th | $82 – $119 |
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Dr. Susan Simon, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Simon National Provider Identifier | NPI #1093704777 (MD) | CMS NPPES Registry (07090) |
| Dr. Simon Westfield CMS Volume Rank | 75.00th Pct (3,772 CMS svcs; Z +0.171σ) | CMS Medicare Part B (NJ Internal Medicine) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Westfield, NJ) |
| Waiting-Room Wait Time & Cash Friendliness | $209.00 avg paid • 10 min lobby wait | 14 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.95/5 Listening • 4.74/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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