Dr. Matthias Simon, MD
11481 Toepperwein Rd Ste 1202, Live Oak, TX 78233 • +1-209-555-7466
Medical Education: Accredited U.S. Medical School (Class of 1996)
What This Doctor Actually Performs: CMS Medicare Utilization & Live Oak Percentiles
NPI #1508950130 • CBSA Regional • Nephrology
CMS Medicare Part B utilization records credit Dr. Matthias Simon (MD, NPI 1508950130) at 11481 Toepperwein Rd Ste 1202 in Live Oak with 4,574 annual clinical services (476 beneficiaries), corresponding to a +0.40σ regional deviation and upper-quartile active clinical volume (71.43th Live Oak percentile) with sub-specialty concentration in 37 Active CMS HCPCS Codes.
Medicare Part B line-item claims for Dr. Matthias Simon (78233) place 99214 at the top of the practice ledger (1784 yearly units, 71.43th metro rank), rounded out by 90960 and 99215.
Cash-pay intake data for NPI 1508950130 (11481 Toepperwein Rd Ste 1202, Live Oak) indicates $209.00 typical out-of-pocket visit spend against a $209.00 locality benchmark, paired with 20-minute average reception wait and 4.78/5 biomarker openness.
Clinical background for Dr. Simon (MD, NPI #1508950130) includes accredited doctoral training (1996, 30 yrs in practice) and virtual + in-office availability across TX.
Compared against Live Oak, TX Nephrology peers
4,574 annual services across 476 beneficiaries
Standard deviations from TX Nephrology mean utilization
Top Billed HCPCS/CPT Procedures & GPCI Self-Pay Cash Benchmarks
| HCPCS | Clinical Procedure Description | Annual Volume | Local Pct | Est. Cash Range |
|---|---|---|---|---|
| 99214 | Chronic Kidney Disease eGFR, uACR & Electrolyte Management | 1,784 | 71.43th | $134 – $184 |
| 90960 | Monthly Adult ESRD Renal Replacement Oversight | 818 | 67.43th | $269 – $369 |
| 99215 | High-Complexity Cardiorenal & Resistant Hypertension Visit | 669 | 66.43th | $196 – $269 |
| 99204 | New Patient Nephrology & Proteinuria Consultation | 446 | 66.43th | $185 – $253 |
| 96372 | Therapeutic Subcutaneous/Intramuscular Injection Administration (37 HCPCS billing breadth) | 858 | 71.43th | $116 – $168 |
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Dr. Matthias Simon, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Simon National Provider Identifier | NPI #1508950130 (MD) | CMS NPPES Registry (78233) |
| Dr. Simon Live Oak CMS Volume Rank | 71.43th Pct (4,574 CMS svcs; Z +0.398σ) | CMS Medicare Part B (TX Nephrology) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Live Oak, TX) |
| Waiting-Room Wait Time & Cash Friendliness | $209.00 avg paid • 20 min lobby wait | 22 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.84/5 Listening • 4.78/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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