Dr. Gerald Simon, MD

NPI: 1861450330
Total Payments
$11,340
2024 Payments
$1,092
Companies
64
Transactions
706
Medicare Patients
9,334
Medicare Billing
$1.6M

Payment Breakdown by Category

Food & Beverage$11,196 (98.7%)
Education$144.07 (1.3%)

Payments by Nature

Nature of Payment Amount Transactions Share
Food and Beverage $11,196 697 98.7%
Education $144.07 9 1.3%

Top Paying Companies

Company Total Records Latest Year
Amgen Inc. $1,143 76 $0 (2024)
Novartis Pharmaceuticals Corporation $974.44 63 $0 (2024)
Novo Nordisk Inc $855.71 49 $0 (2023)
Lilly USA, LLC $735.73 47 $0 (2024)
ABBVIE INC. $634.01 36 $0 (2024)
AstraZeneca Pharmaceuticals LP $609.26 37 $0 (2024)
Amarin Pharma Inc. $522.58 39 $0 (2022)
SANOFI-AVENTIS U.S. LLC $518.14 35 $0 (2023)
GlaxoSmithKline, LLC. $484.47 30 $0 (2024)
PFIZER INC. $481.90 38 $0 (2024)

Payment History by Year

Year Amount Transactions Top Company
2024 $1,092 55 AstraZeneca Pharmaceuticals LP ($211.57)
2023 $1,356 68 Lilly USA, LLC ($181.03)
2022 $1,691 92 ABBVIE INC. ($296.01)
2021 $1,370 95 Amgen Inc. ($258.43)
2020 $1,246 82 Novo Nordisk Inc ($210.12)
2019 $994.49 67 Amarin Pharma Inc. ($189.04)
2018 $2,026 140 Novo Nordisk Inc ($216.15)
2017 $1,565 107 PFIZER INC. ($183.43)

All Payment Transactions

706 individual payment records from CMS Open Payments — Page 1 of 29

Date Company Product Nature Form Amount Type
11/26/2024 AstraZeneca Pharmaceuticals LP AIRSUPRA (Drug) Food and Beverage In-kind items and services $16.31 General
Category: Respiratory
11/22/2024 Novartis Pharmaceuticals Corporation LEQVIO (Drug) Food and Beverage In-kind items and services $20.50 General
Category: Cardiology/Vascular Diseases
11/14/2024 Phathom Pharmaceuticals, Inc. VOQUEZNA (Drug) Food and Beverage In-kind items and services $19.79 General
Category: GASTROENTEROLOGY
11/08/2024 AstraZeneca Pharmaceuticals LP LOKELMA (Drug) Food and Beverage In-kind items and services $16.93 General
Category: Cardiovascular and Metabolism
11/05/2024 Esperion Therapeutics, Inc. NEXLETOL (Drug) Food and Beverage In-kind items and services $14.90 General
Category: ANTILIPEMIC AGENTS
11/02/2024 GlaxoSmithKline, LLC. TRELEGY ELLIPTA (Drug) Food and Beverage In-kind items and services $20.33 General
Category: RESPIRATORY
10/11/2024 AstraZeneca Pharmaceuticals LP LOKELMA (Drug) Food and Beverage In-kind items and services $14.56 General
Category: Cardiovascular and Metabolism
10/08/2024 Lilly USA, LLC MOUNJARO (Drug), ZEPBOUND Food and Beverage In-kind items and services $19.86 General
Category: Diabetes
10/07/2024 PFIZER INC. PREVNAR 20 (Biological), COMIRNATY, ABRYSVO Food and Beverage In-kind items and services $17.33 General
Category: VACCINES
10/05/2024 AstraZeneca Pharmaceuticals LP FARXIGA (Drug) Food and Beverage In-kind items and services $16.73 General
Category: Cardiovascular and Metabolism
09/27/2024 Vanda Pharmaceuticals Inc. FANAPT (Drug) Food and Beverage In-kind items and services $21.57 General
Category: SCHIZOPHRENIA
09/26/2024 Novartis Pharmaceuticals Corporation LEQVIO (Drug) Food and Beverage In-kind items and services $16.76 General
Category: Cardiology/Vascular Diseases
09/24/2024 Exact Sciences Corporation Cologuard Collection Kit (Device) Food and Beverage In-kind items and services $17.79 General
Category: Oncology
09/23/2024 Amgen Inc. EVENITY (Biological), Prolia Food and Beverage In-kind items and services $25.71 General
Category: Bone Health
09/13/2024 Novartis Pharmaceuticals Corporation LEQVIO (Drug) Food and Beverage In-kind items and services $21.04 General
Category: Cardiology/Vascular Diseases
09/11/2024 AstraZeneca Pharmaceuticals LP FARXIGA (Drug) Food and Beverage In-kind items and services $18.78 General
Category: Cardiovascular and Metabolism
09/09/2024 Ascensia Diabetes Care Us Inc. EVERSENSE E3 SENSOR KIT - RETAIL (Device) Food and Beverage In-kind items and services $19.43 General
Category: Diabetes
08/27/2024 Amgen Inc. Otezla (Drug), Repatha Food and Beverage In-kind items and services $19.36 General
Category: Inflammation
08/26/2024 GlaxoSmithKline, LLC. SHINGRIX (Biological), AREXVY Food and Beverage In-kind items and services $22.85 General
Category: VACCINES
08/23/2024 AstraZeneca Pharmaceuticals LP LOKELMA (Drug), FARXIGA Food and Beverage In-kind items and services $17.34 General
Category: Cardiovascular and Metabolism
08/09/2024 Novartis Pharmaceuticals Corporation LEQVIO (Drug) Food and Beverage In-kind items and services $18.80 General
Category: Cardiology/Vascular Diseases
08/08/2024 ABBVIE INC. LINZESS (Drug), CREON Food and Beverage In-kind items and services $15.27 General
Category: GASTROENTEROLOGY
07/27/2024 Lilly USA, LLC MOUNJARO (Drug), ZEPBOUND Food and Beverage In-kind items and services $23.01 General
Category: Diabetes
07/23/2024 Abbott Laboratories ETERNA (Device) Food and Beverage In-kind items and services $18.96 General
Category: Neuromodulation
07/17/2024 PFIZER INC. ELIQUIS (Drug), NURTEC ODT Food and Beverage In-kind items and services $19.64 General
Category: CARDIOVASCULAR;METABOLIC DISEASE

Medicare Billing by Year

Year Procedures Beneficiaries Services Submitted Medicare Paid
2023 18 1,964 5,589 $938,085 $375,762
2022 19 2,217 6,572 $1.1M $426,805
2021 24 2,457 7,543 $983,165 $425,752
2020 26 2,696 7,013 $952,585 $370,156
Total Patients
9,334
Total Services
26,717
Medicare Billing
$1.6M
Procedure Codes
87

All Medicare Procedures & Services

87 procedure records from CMS Medicare Utilization — Page 1 of 4

HCPCS Description Setting Year Patients Services Charges Medicare Paid Ratio
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes Facility 2023 217 1,413 $210,537 $87,093 41.4%
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month Office 2023 218 1,682 $214,878 $81,772 38.1%
99214 Established patient office or other outpatient visit, 30-39 minutes Office 2023 322 680 $184,052 $61,267 33.3%
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes Facility 2023 230 342 $97,812 $33,988 34.7%
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit Office 2023 264 264 $94,225 $33,510 35.6%
99239 Hospital discharge day management, more than 30 minutes Facility 2023 216 326 $49,878 $28,973 58.1%
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes Office 2023 119 356 $29,548 $20,551 69.5%
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes Office 2023 50 129 $14,964 $10,778 72.0%
90662 Influenza vaccine split virus, preservative free Office 2023 76 76 $10,702 $5,456 51.0%
99204 New patient office or other outpatient visit, 45-59 minutes Office 2023 35 35 $10,879 $3,921 36.0%
G0008 Administration of influenza virus vaccine Office 2023 76 76 $2,743 $2,456 89.5%
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and Office 2023 35 48 $5,731 $1,836 32.0%
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes Office 2023 15 15 $4,245 $1,580 37.2%
99439 Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month Office 2023 26 28 $2,232 $1,036 46.4%
99213 Established patient office or other outpatient visit, 20-29 minutes Office 2023 17 17 $3,255 $982.29 30.2%
96372 Injection of drug or substance under skin or into muscle Office 2023 14 51 $1,672 $465.75 27.9%
81002 Urinalysis, manual test Office 2023 21 22 $201.36 $75.02 37.3%
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg Office 2023 13 29 $532.00 $21.85 4.1%
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month Office 2022 301 2,077 $252,500 $101,921 40.4%
99232 Follow-up hospital inpatient care per day, typically 25 minutes Facility 2022 221 1,694 $252,406 $94,771 37.5%
99214 Established patient office or other outpatient visit, 30-39 minutes Office 2022 323 665 $194,180 $58,180 30.0%
99223 Initial hospital inpatient care per day, typically 70 minutes Facility 2022 184 267 $111,873 $40,971 36.6%
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit Office 2022 251 251 $94,125 $32,744 34.8%
99308 Follow-up nursing facility visit per day, typically 15 minutes Office 2022 110 388 $32,204 $20,728 64.4%
99309 Follow-up nursing facility visit per day, typically 25 minutes Office 2022 71 262 $30,392 $18,817 61.9%

About Dr. Gerald Simon, MD

Dr. Gerald Simon, MD is a Geriatric Medicine healthcare provider based in Countryside, Illinois. This provider has been registered with the National Plan and Provider Enumeration System (NPPES) since 05/03/2006. The National Provider Identifier (NPI) number assigned to this provider is 1861450330.

According to the Centers for Medicare & Medicaid Services (CMS) Open Payments database, Dr. Gerald Simon, MD has received a total of $11,340 in payments from pharmaceutical and medical device companies, with $1,092 received in 2024. These payments were reported across 706 transactions from 64 companies. The most common payment nature is "Food and Beverage" ($11,196).

As a Medicare-enrolled provider, Simon has provided services to 9,334 Medicare beneficiaries, totaling 26,717 services with total Medicare billing of $1.6M. Data is available for 4 years (2020–2023), covering 87 distinct procedure/service records.

Practice Information

  • Specialty Geriatric Medicine
  • Other Specialties Internal Medicine
  • Location Countryside, IL
  • Active Since 05/03/2006
  • Last Updated 02/01/2023
  • Taxonomy Code 207RG0300X
  • Entity Type Individual
  • NPI Number 1861450330

Products in Payments

  • ENTRESTO (Drug) $867.18
  • Ozempic (Drug) $548.67
  • Vascepa (Drug) $522.58
  • FARXIGA (Drug) $394.89
  • ELIQUIS (Drug) $394.18
  • EVENITY (Biological) $394.06
  • XARELTO (Drug) $345.14
  • Otezla (Drug) $322.55
  • MOUNJARO (Drug) $286.59
  • Prolia (Biological) $283.38
  • TRELEGY ELLIPTA (Drug) $277.40
  • LINZESS (Drug) $244.61
  • TRULICITY (Drug) $242.07
  • VRAYLAR (Drug) $238.60
  • TOUJEO (Drug) $212.91
  • Dexcom G6 Transmitter (Medical Supply) $208.93
  • REXULTI (Drug) $200.67
  • Victoza (Drug) $180.56
  • NUEDEXTA (Drug) $178.59
  • ZENPEP (Drug) $178.18

Data Sources

Provider data from NPPES. Payment data from CMS Open Payments. Medicare data from CMS Medicare Provider Utilization. All data is public and updated periodically.