Medicare Billing by Year
| Year | Procedures | Beneficiaries | Services | Submitted | Medicare Paid |
|---|---|---|---|---|---|
| 2023 | 6 | 126 | 736 | $126,239 | $47,770 |
| 2022 | 4 | 73 | 606 | $92,005 | $30,795 |
| 2021 | 5 | 107 | 684 | $98,937 | $34,026 |
| 2020 | 5 | 201 | 845 | $115,231 | $44,437 |
All Medicare Procedures & Services
20 procedure records from CMS Medicare Utilization
| HCPCS | Description | Setting | Year | Patients | Services | Charges | Medicare Paid | Ratio |
|---|---|---|---|---|---|---|---|---|
| 99309 | Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes | Facility | 2023 | 25 | 238 | $48,140 | $19,089 | 39.7% |
| 99308 | Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes | Facility | 2023 | 23 | 221 | $33,785 | $12,171 | 36.0% |
| 99310 | Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes | Facility | 2023 | 22 | 88 | $26,550 | $10,138 | 38.2% |
| 99307 | Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes | Facility | 2023 | 18 | 102 | $10,132 | $2,768 | 27.3% |
| 99316 | Nursing facility discharge management, more than 30 minutes | Facility | 2023 | 20 | 20 | $4,716 | $2,053 | 43.5% |
| G0317 | Prolonged nursing facility evaluation and management service(s) beyond the total time for the primary service (when the primary service has been selected using time on the date of the primary service); each additional 15 minutes by the physician or qualifi | Facility | 2023 | 18 | 67 | $2,917 | $1,551 | 53.2% |
| 99308 | Follow-up nursing facility visit per day, typically 15 minutes | Facility | 2022 | 19 | 324 | $48,149 | $16,492 | 34.3% |
| 99309 | Follow-up nursing facility visit per day, typically 25 minutes | Facility | 2022 | 20 | 150 | $29,459 | $9,839 | 33.4% |
| 99307 | Follow-up nursing facility visit per day, typically 10 minutes | Facility | 2022 | 19 | 117 | $11,298 | $3,562 | 31.5% |
| 99318 | Nursing facility annual assessment, typically 30 minutes | Facility | 2022 | 15 | 15 | $3,099 | $902.04 | 29.1% |
| 99308 | Subsequent nursing facility visit, typically 15 minutes per day | Facility | 2021 | 32 | 319 | $45,783 | $16,092 | 35.1% |
| 99309 | Subsequent nursing facility visit, typically 25 minutes per day | Facility | 2021 | 30 | 157 | $29,500 | $10,251 | 34.7% |
| 99307 | Subsequent nursing facility visit, typically 10 minutes per day | Facility | 2021 | 22 | 180 | $16,867 | $5,509 | 32.7% |
| 99310 | Subsequent nursing facility visit, typically 35 minutes per day | Facility | 2021 | 11 | 16 | $4,384 | $1,346 | 30.7% |
| 99318 | Nursing facility annual assessment, typically 30 minutes | Facility | 2021 | 12 | 12 | $2,403 | $828.85 | 34.5% |
| 99309 | Subsequent nursing facility visit, typically 25 minutes per day | Facility | 2020 | 77 | 257 | $41,224 | $17,020 | 41.3% |
| 99308 | Subsequent nursing facility visit, typically 15 minutes per day | Facility | 2020 | 55 | 334 | $44,558 | $16,879 | 37.9% |
| 99307 | Subsequent nursing facility visit, typically 10 minutes per day | Facility | 2020 | 36 | 212 | $19,304 | $6,918 | 35.8% |
| 99310 | Subsequent nursing facility visit, typically 35 minutes per day | Facility | 2020 | 19 | 28 | $7,573 | $2,787 | 36.8% |
| 99497 | Advance care planning by the physician or other qualified health care professional | Facility | 2020 | 14 | 14 | $2,572 | $832.77 | 32.4% |
About Dr. James Simcoe, MD
Dr. James Simcoe, MD is a Geriatric Medicine healthcare provider based in Norwich, New York. This provider has been registered with the National Plan and Provider Enumeration System (NPPES) since 10/18/2006. The National Provider Identifier (NPI) number assigned to this provider is 1346321254.
As a Medicare-enrolled provider, Simcoe has provided services to 507 Medicare beneficiaries, totaling 2,871 services with total Medicare billing of $157,028. Data is available for 4 years (2020–2023), covering 20 distinct procedure/service records.
Practice Information
- Specialty Geriatric Medicine
- Location Norwich, NY
- Active Since 10/18/2006
- Last Updated 07/08/2007
- Taxonomy Code 207RG0300X
- Entity Type Individual
- NPI Number 1346321254
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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.