Dr. Marc Simon, MD

NPI: 1346215449
Total Payments
$151,206
2024 Payments
$21,267
Companies
18
Transactions
337
Medicare Patients
577
Medicare Billing
$96,949

Payment Breakdown by Category

Consulting$65,752 (43.5%)
Travel$56,324 (37.2%)
Other$14,100 (9.3%)
Food & Beverage$13,768 (9.1%)
Research$1,212 (0.8%)
Education$49.81 (0.0%)

Payments by Nature

Nature of Payment Amount Transactions Share
Consulting Fee $65,752 21 43.5%
Travel and Lodging $56,324 86 37.2%
Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program $14,100 4 9.3%
Food and Beverage $13,768 199 9.1%
Unspecified $1,212 8 0.8%
Education $49.81 19 0.0%

Payments by Type

General
$149,994
329 transactions
Research
$1,212
8 transactions

Top Paying Companies

Company Total Records Latest Year
Actelion Pharmaceuticals US, Inc. $48,888 129 $0 (2024)
Actelion Pharmaceuticals, Ltd $31,194 21 $0 (2019)
United Therapeutics Corporation $29,795 88 $0 (2024)
Bayer HealthCare Pharmaceuticals Inc. $15,920 31 $0 (2022)
Merck Sharp & Dohme LLC $14,434 26 $0 (2024)
Gilead Sciences, Inc. $6,332 11 $0 (2018)
Abbott Laboratories $1,440 4 $0 (2023)
GlaxoSmithKline, LLC. $1,212 8 $0 (2018)
Sandoz Inc. $530.25 8 $0 (2023)
Amgen Inc. $454.13 2 $0 (2019)

Payment History by Year

Year Amount Transactions Top Company
2024 $21,267 40 Actelion Pharmaceuticals US, Inc. ($13,697)
2023 $14,712 47 Merck Sharp & Dohme LLC ($6,912)
2022 $19,543 49 Bayer HealthCare Pharmaceuticals Inc. ($11,112)
2021 $1,317 12 United Therapeutics Corporation ($465.87)
2020 $1,981 5 United Therapeutics Corporation ($1,981)
2019 $31,677 38 United Therapeutics Corporation ($15,533)
2018 $26,088 49 Actelion Pharmaceuticals, Ltd ($16,073)
2017 $34,620 97 Actelion Pharmaceuticals US, Inc. ($12,432)

All Payment Transactions

337 individual payment records from CMS Open Payments — Page 1 of 14

Date Company Product Nature Form Amount Type
12/17/2024 United Therapeutics Corporation REMODULIN (Drug) Food and Beverage In-kind items and services $13.02 General
Category: Pulmonary Arterial Hypertension
11/25/2024 Merck Sharp & Dohme LLC Consulting Fee Cash or cash equivalent $5,490.00 General
11/25/2024 Merck Sharp & Dohme LLC Travel and Lodging Cash or cash equivalent $150.00 General
11/18/2024 Actelion Pharmaceuticals US, Inc. OPSUMIT (Drug), UPTRAVI Food and Beverage In-kind items and services $9.72 General
Category: Cardiology
11/15/2024 Merck Sharp & Dohme LLC WINREVAIR (Biological) Travel and Lodging In-kind items and services $692.16 General
Category: CARDIOVASCULAR
11/15/2024 Merck Sharp & Dohme LLC WINREVAIR (Biological) Food and Beverage In-kind items and services $64.11 General
Category: CARDIOVASCULAR
11/15/2024 Merck Sharp & Dohme LLC WINREVAIR (Biological) Food and Beverage In-kind items and services $51.83 General
Category: CARDIOVASCULAR
11/15/2024 Merck Sharp & Dohme LLC WINREVAIR (Biological) Food and Beverage In-kind items and services $34.36 General
Category: CARDIOVASCULAR
11/14/2024 Actelion Pharmaceuticals US, Inc. UPTRAVI (Drug) Consulting Fee Cash or cash equivalent $3,375.00 General
Category: Cardiology
11/14/2024 Merck Sharp & Dohme LLC WINREVAIR (Biological) Travel and Lodging In-kind items and services $221.89 General
Category: CARDIOVASCULAR
11/14/2024 Merck Sharp & Dohme LLC WINREVAIR (Biological) Travel and Lodging In-kind items and services $220.00 General
Category: CARDIOVASCULAR
10/30/2024 Actelion Pharmaceuticals US, Inc. UPTRAVI (Drug) Travel and Lodging Cash or cash equivalent $100.56 General
Category: Cardiology
10/05/2024 Actelion Pharmaceuticals US, Inc. UPTRAVI (Drug) Food and Beverage In-kind items and services $89.56 General
Category: Cardiology
10/05/2024 Actelion Pharmaceuticals US, Inc. UPTRAVI (Drug) Food and Beverage In-kind items and services $32.57 General
Category: Cardiology
09/30/2024 Actelion Pharmaceuticals US, Inc. UPTRAVI (Drug) Travel and Lodging In-kind items and services $516.22 General
Category: Cardiology
09/30/2024 Actelion Pharmaceuticals US, Inc. UPTRAVI (Drug) Travel and Lodging In-kind items and services $449.99 General
Category: Cardiology
09/04/2024 Kerecis Limited Kerecis Omega3 SurgiClose (Device), Kerecis Omega3 Marigen, Kerecis Omega3 Marigen Food and Beverage Cash or cash equivalent $129.90 General
Category: Wound Care
08/26/2024 United Therapeutics Corporation TYVASO (Drug), REMODULIN, ORENITRAM Food and Beverage In-kind items and services $85.77 General
Category: Pulmonary Arterial Hypertension and Pulmonary Hypertension with Interstitial Lung Disease
07/01/2024 Actelion Pharmaceuticals US, Inc. UPTRAVI (Drug) Food and Beverage In-kind items and services $105.56 General
Category: Cardiology
06/29/2024 United Therapeutics Corporation Food and Beverage In-kind items and services $44.06 General
06/28/2024 United Therapeutics Corporation TYVASO (Drug) Food and Beverage In-kind items and services $12.81 General
Category: Pulmonary Arterial Hypertension and Pulmonary Hypertension with Interstitial Lung Disease
06/03/2024 Actelion Pharmaceuticals US, Inc. UPTRAVI (Drug), OPSUMIT Food and Beverage In-kind items and services $121.83 General
Category: Cardiology
05/24/2024 Actelion Pharmaceuticals US, Inc. OPSUMIT (Drug) Travel and Lodging Cash or cash equivalent $78.76 General
Category: Cardiology
05/24/2024 Actelion Pharmaceuticals US, Inc. OPSUMIT (Drug) Food and Beverage Cash or cash equivalent $65.00 General
Category: Cardiology
05/21/2024 Actelion Pharmaceuticals US, Inc. OPSUMIT (Drug) Consulting Fee Cash or cash equivalent $3,375.00 General
Category: Cardiology

Research Studies & Clinical Trials

Study Name Company Amount Records
AN OPEN-LABEL, DOSE-ESCALATION STUDY TO EVALUATE THE SAFETY, TOLERABIL GlaxoSmithKline, LLC. $1,212 8

Medicare Billing by Year

Year Procedures Beneficiaries Services Submitted Medicare Paid
2023 7 186 341 $248,397 $39,292
2022 6 151 250 $148,206 $22,717
2021 6 139 254 $156,289 $25,952
2020 6 101 175 $32,196 $8,988
Total Patients
577
Total Services
1,020
Medicare Billing
$96,949
Procedure Codes
25

All Medicare Procedures & Services

25 procedure records from CMS Medicare Utilization

HCPCS Description Setting Year Patients Services Charges Medicare Paid Ratio
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes Facility 2023 38 154 $84,854 $16,309 19.2%
99215 Established patient office or other outpatient visit, 40-54 minutes Facility 2023 59 77 $59,521 $9,222 15.5%
99291 Critical care, first 30-74 minutes Facility 2023 14 31 $47,895 $5,840 12.2%
99205 New patient office or other outpatient visit, 60-74 minutes Facility 2023 28 28 $30,380 $3,989 13.1%
99214 Established patient office or other outpatient visit, 30-39 minutes Facility 2023 23 24 $13,848 $2,090 15.1%
93451 Insertion of tube in right heart chambers for measurement Facility 2023 13 13 $9,659 $1,447 15.0%
G2212 Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or Facility 2023 11 14 $2,240 $394.32 17.6%
99233 Follow-up hospital inpatient care per day, typically 35 minutes Facility 2022 31 93 $51,243 $8,528 16.6%
99215 Established patient office or other outpatient visit, 40-54 minutes Facility 2022 41 47 $36,331 $5,576 15.3%
99205 New patient office or other outpatient visit, 60-74 minutes Facility 2022 23 23 $24,955 $3,655 14.6%
99214 Established patient office or other outpatient visit, 30-39 minutes Facility 2022 26 34 $19,618 $2,646 13.5%
93451 Insertion of tube in right heart chambers for measurement Facility 2022 12 13 $9,659 $1,243 12.9%
G2212 Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or Facility 2022 18 40 $6,400 $1,069 16.7%
99233 Subsequent hospital inpatient care, typically 35 minutes per day Facility 2021 26 121 $65,992 $11,295 17.1%
99215 Established patient outpatient visit, total time 40-54 minutes Facility 2021 38 46 $35,558 $6,136 17.3%
99205 New patient outpatient visit, total time 60-74 minutes Facility 2021 24 24 $26,040 $4,035 15.5%
99214 Established patient outpatient visit, total time 30-39 minutes Facility 2021 25 26 $15,002 $2,364 15.8%
99204 New patient outpatient visit, total time 45-59 minutes Facility 2021 11 11 $9,537 $1,360 14.3%
G2212 Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or Facility 2021 15 26 $4,160 $762.00 18.3%
99232 Subsequent hospital inpatient care, typically 25 minutes per day Facility 2020 36 81 $14,580 $4,729 32.4%
99231 Subsequent hospital inpatient care, typically 15 minutes per day Facility 2020 17 40 $4,000 $1,277 31.9%
93451 Insertion of catheter for diagnostic evaluation of right heart structures Facility 2020 13 13 $8,229 $1,157 14.1%
99214 Established patient office or other outpatient, visit typically 25 minutes Facility 2020 11 13 $2,454 $661.27 26.9%
99442 Physician telephone patient service, 11-20 minutes of medical discussion Facility 2020 12 15 $1,120 $624.37 55.7%
99213 Established patient office or other outpatient visit, typically 15 minutes Facility 2020 12 13 $1,813 $540.18 29.8%

About Dr. Marc Simon, MD

Dr. Marc Simon, MD is a Specialist healthcare provider based in San Francisco, California. This provider has been registered with the National Plan and Provider Enumeration System (NPPES) since 02/22/2006. The National Provider Identifier (NPI) number assigned to this provider is 1346215449.

According to the Centers for Medicare & Medicaid Services (CMS) Open Payments database, Dr. Marc Simon, MD has received a total of $151,206 in payments from pharmaceutical and medical device companies, with $21,267 received in 2024. These payments were reported across 337 transactions from 18 companies. The most common payment nature is "Consulting Fee" ($65,752).

As a Medicare-enrolled provider, Simon has provided services to 577 Medicare beneficiaries, totaling 1,020 services with total Medicare billing of $96,949. Data is available for 4 years (2020–2023), covering 25 distinct procedure/service records.

Practice Information

  • Specialty Specialist
  • Other Specialties Advanced Heart Failure and Transplant Cardiology, Cardiovascular Disease
  • Location San Francisco, CA
  • Active Since 02/22/2006
  • Last Updated 10/14/2021
  • Taxonomy Code 174400000X
  • Entity Type Individual
  • NPI Number 1346215449

Products in Payments

  • UPTRAVI (Drug) $16,427
  • Adempas (Drug) $15,797
  • NONE (Drug) $15,122
  • OPSUMIT (Drug) $11,477
  • Letairis (Drug) $6,216
  • TYVASO (Drug) $5,396
  • WINREVAIR (Biological) $1,284
  • CardioMEMS HF System (Device) $1,149
  • ORENITRAM (Drug) $1,064
  • TREPROSTINIL (Drug) $530.25
  • Optimizer Smart System (Device) $440.30
  • REMODULIN (Drug) $278.34
  • CARDIOMEMS (Device) $177.66
  • MITRIS RESILIA Mitral Valve (Device) $175.25
  • OPSUMIT MACITENTAN (Drug) $152.37
  • BOSENTAN (Drug) $150.91
  • Kerecis Omega3 SurgiClose (Device) $129.90
  • 2ND GEN CENTRIMAG PRIMARY CONSOLE (Device) $113.69
  • ENTRESTO (Drug) $22.86
  • Veltassa (Drug) $22.11

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.

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