Internal Medicine · Brooklyn, NY
NPI
1427034974
Since 2005
Specialty
Internal Medicine
Code 207R00000X
Group practices
0
Medicare group memberships
Hospitals
1
Hospital affiliations
672 Utica Ave
Brooklyn, NY, 11203
Phone (718) 940-0400
Medicare paid, 2024
$73K
1,222 services
Medicare patients, 2024
265
Average age 79
Drug cost, 2024
$889K
7,257 prescriptions
Company payments, 2024
$125
From 1 companies
Procedures and visits billed to Original Medicare, 2024
In 2024, the most common Medicare service billed by Herold Simon was code 99308 (snf e&m), 410 times for 110 patients. In total Herold Simon billed 1,222 services in 14 codes, and Medicare paid $73K.
| Code |
|---|
Official US government data: the national provider registry and Medicare enrollment records, linked by NPI. Last update of this record: 2024-10-22.
| Setting |
|---|
| Services |
|---|
| Patients |
|---|
| Paid per service |
|---|
| Medicare paid |
|---|
| 99308 SNF E&M | Office | 410 | 110 | $55.32 | $23K |
| 99307 SNF E&M | Office | 342 | 120 | $32.45 | $11K |
| 99309 SNF E&M | Office | 224 | 109 | $85.64 | $19K |
| 99305 SNF E&M | Office | 77 | 77 | $111.64 | $8,596 |
| 99304 SNF E&M | Office | 58 | 39 | $67.82 | $3,933 |
| 99315 SNF E&M | Office | 25 | 24 | $60.54 | $1,514 |
| 99316 SNF E&M | Office | 21 | 21 | $108.94 | $2,288 |
| 99214 Office E&M - Established | Office | 21 | 11 | $109.34 | $2,296 |
By year: 2022 $153K for 2,186 services; 2023 $145K for 2,265 services; 2024 $73K for 1,222 services.
Lab tests billed to Medicare, 2023
| Test code | Tests | Patients | Paid per test | Medicare paid |
|---|---|---|---|---|
| 36415 Venipuncture Blood Collection | 36 | 19 | $8.40 | $302 |
Medicare prescription drug claims, 2024
In 2024, the drug Herold Simon prescribed most often to Medicare patients was Atorvastatin Calcium, with 463 prescriptions and refills. In total Herold Simon wrote 7,257 Medicare prescriptions that cost $889K.
| Drug | Claims | 30-day fills | Patients | Cost |
|---|---|---|---|---|
| Atorvastatin Calcium Generic | 463 | 533 | 109 | $7,721 |
| Eliquis Apixaban | 250 | 250 | 31 | $86K |
| Amlodipine Besylate Generic | 229 | 287 | 56 | $1,741 |
| Gabapentin Generic | 178 | 204 | 41 | $2,686 |
| Nifedipine Er Nifedipine | 177 | 241 | 45 | $4,045 |
| Losartan Potassium Generic | 168 | 222 | 37 | $2,209 |
| Tamsulosin Hcl Generic | 152 | 162 | 38 | $3,221 |
| Metoprolol Tartrate Generic | 148 | 187 | 31 | $1,173 |
| Clopidogrel Clopidogrel Bisulfate | 137 | 145 | 31 | $1,744 |
| Pravastatin Sodium Generic | 135 | 191 | 23 | $2,004 |
| Famotidine Generic | 127 | 155 | 32 | $1,343 |
| Metoprolol Succinate Generic | 126 | 154 | 32 | $2,367 |
| Simvastatin Generic | 120 | 142 | 18 | $636 |
| Levetiracetam Generic | 114 | 114 | 15 | $4,282 |
| Triamterene-Hydrochlorothiazid Triamterene/Hydrochlorothiazid | 109 | 165 | 23 | $824 |
Brand drugs: 1,236 claims; generic drugs: 5,966 claims.
Money and other things of value reported by the companies
In 2024, drug and medical device companies paid Herold Simon $125 ($125 in general payments such as food, travel and fees) from 1 company. The largest payer was Phathom Pharmaceuticals, Inc. with $125.
| Company | Payments | Amount |
|---|---|---|
| Phathom Pharmaceuticals, Inc. PHAT | 1 | $125 |
Official US government data on Original Medicare services, Medicare prescription drug plans and the payments drug and device companies must report. Services with fewer than 11 patients and drugs with fewer than 11 claims are not published. Procedure codes are shown by number with their public category.