Payment Breakdown by Category
Payments by Nature
| Nature of Payment | Amount | Transactions | Share |
|---|---|---|---|
| Food and Beverage | $78.29 | 5 | 100.0% |
Top Paying Companies
| Company | Total | Records | Latest Year |
|---|---|---|---|
| AbbVie Inc. | $50.90 | 4 | $0 (2020) |
| Boehringer Ingelheim Pharmaceuticals, Inc. | $27.39 | 1 | $0 (2024) |
Payment History by Year
| Year | Amount | Transactions | Top Company |
|---|---|---|---|
| 2024 | $27.39 | 1 | Boehringer Ingelheim Pharmaceuticals, Inc. ($27.39) |
| 2020 | $40.05 | 3 | AbbVie Inc. ($40.05) |
| 2019 | $10.85 | 1 | AbbVie, Inc. ($10.85) |
All Payment Transactions
5 individual payment records from CMS Open Payments
| Date | Company | Product | Nature | Form | Amount | Type |
|---|---|---|---|---|---|---|
| 09/25/2024 | Boehringer Ingelheim Pharmaceuticals, Inc. | OFEV (Drug) | Food and Beverage | In-kind items and services | $27.39 | General |
| Category: RESPIRATORY | ||||||
| 11/11/2020 | AbbVie Inc. | MAVYRET (Drug) | Food and Beverage | In-kind items and services | $12.26 | General |
| Category: VIROLOGY | ||||||
| 08/14/2020 | AbbVie Inc. | MAVYRET (Drug) | Food and Beverage | In-kind items and services | $15.37 | General |
| Category: VIROLOGY | ||||||
| 02/17/2020 | AbbVie Inc. | MAVYRET (Drug) | Food and Beverage | In-kind items and services | $12.42 | General |
| Category: VIROLOGY | ||||||
| 12/17/2019 | AbbVie, Inc. | Mavyret (Drug) | Food and Beverage | In-kind items and services | $10.85 | General |
| Category: Virology | ||||||
Medicare Billing by Year
| Year | Procedures | Beneficiaries | Services | Submitted | Medicare Paid |
|---|---|---|---|---|---|
| 2023 | 5 | 105 | 117 | $62,043 | $15,719 |
| 2022 | 1 | 19 | 19 | $4,332 | $1,116 |
| 2020 | 3 | 126 | 226 | $53,999 | $19,476 |
All Medicare Procedures & Services
9 procedure records from CMS Medicare Utilization
| HCPCS | Description | Setting | Year | Patients | Services | Charges | Medicare Paid | Ratio |
|---|---|---|---|---|---|---|---|---|
| 99205 | New patient office or other outpatient visit, 60-74 minutes | Office | 2023 | 33 | 33 | $22,242 | $5,879 | 26.4% |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | Office | 2023 | 30 | 33 | $12,936 | $3,430 | 26.5% |
| 99291 | Critical care, first 30-74 minutes | Facility | 2023 | 12 | 19 | $13,281 | $3,240 | 24.4% |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | Facility | 2023 | 15 | 15 | $9,555 | $2,090 | 21.9% |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | Facility | 2023 | 15 | 17 | $4,029 | $1,080 | 26.8% |
| 99232 | Follow-up hospital inpatient care per day, typically 25 minutes | Facility | 2022 | 19 | 19 | $4,332 | $1,116 | 25.8% |
| 99232 | Subsequent hospital inpatient care, typically 25 minutes per day | Facility | 2020 | 55 | 155 | $27,125 | $9,736 | 35.9% |
| 99223 | Initial hospital inpatient care, typically 70 minutes per day | Facility | 2020 | 48 | 48 | $23,424 | $8,264 | 35.3% |
| 99238 | Hospital discharge day management, 30 minutes or less | Facility | 2020 | 23 | 23 | $3,450 | $1,476 | 42.8% |
About Dr. Michael Simon, M.D
Dr. Michael Simon, M.D is a Pulmonary Disease healthcare provider based in Fall River, Massachusetts. This provider has been registered with the National Plan and Provider Enumeration System (NPPES) since 04/20/2016. The National Provider Identifier (NPI) number assigned to this provider is 1366896912.
According to the Centers for Medicare & Medicaid Services (CMS) Open Payments database, Dr. Michael Simon, M.D has received a total of $78.29 in payments from pharmaceutical and medical device companies, with $27.39 received in 2024. These payments were reported across 5 transactions from 2 companies. The most common payment nature is "Food and Beverage" ($78.29).
As a Medicare-enrolled provider, Simon has provided services to 250 Medicare beneficiaries, totaling 362 services with total Medicare billing of $36,310. Data is available for 3 years (2020–2023), covering 9 distinct procedure/service records.
Practice Information
- Specialty Pulmonary Disease
- Other Specialties Pulmonary Disease
- Location Fall River, MA
- Active Since 04/20/2016
- Last Updated 01/22/2025
- Taxonomy Code 207RP1001X
- Entity Type Individual
- Practice Solo Practitioner
- NPI Number 1366896912
Products in Payments
- MAVYRET (Drug) $40.05
- OFEV (Drug) $27.39
- Mavyret (Drug) $10.85
Explore
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.
Pulmonary Disease Doctors in Fall River
Dr. Brendan Carolan, Md, MD
Pulmonary Disease — Payments: $10,587
Alejandro Lorenzana, M.d, M.D
Pulmonary Disease — Payments: $8,627
Dr. Timur Graham, M.d, M.D
Pulmonary Disease — Payments: $5,469
Daniel Sousa, Md, MD
Pulmonary Disease — Payments: $1,596
Dr. Lelia Lamp, M.d, M.D
Pulmonary Disease — Payments: $1,059
Dr. Nick Mucciardi, Md, MD
Pulmonary Disease — Payments: $973.88