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PROVIDER PROFILE · NPI 1225036122

Stuart SimonM.D.

Critical Care (Intensivists)Austell, GAI
CROSS-REFERENCE

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ProviderScore
OIG/SAM exclusion screening, sanctions history
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PricingContactPrivacyTerms
QUALITY · MIPS · 2024
Final MIPS score
91.6
Quality
83.3
Cost
0.0
Improvement activities
40.0
Promoting interop.
100.0
Payment adjustment
0.70%
APM Entity
FACILITY AFFILIATIONS

Hospital & Facility Affiliations (4)

CCN 110030
Hospital
CCN 110035
Hospital
CCN 110042
Hospital
CCN 110083
Hospital
PRESCRIBING · PART D · 2024
Total Rx claims
2,488
Beneficiaries
—
Total drug cost
$1.0M
Distinct drugs
23
Brand share
77.3%
Top prescribed drugs
Fluticasone/Umeclidin/Vilanter838 claims
Albuterol Sulfate383 claims
Prednisone229 claims
Fluticasone/Vilanterol132 claims
Tiotropium Bromide100 claims
MEDICARE UTILIZATION · PART B · 2024
Total beneficiaries
1,299
Unique beneficiaries
—
Total services
1,812
Distinct HCPCS
21
Medicare payment
$102K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 171 Critical Care (Intensivists) providers in GA — top quintile (cohort median 316).
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
Total received
$397
Payment records
15
By payment type
Food and Beverage$397
REFERRAL NETWORK

Where Stuart Simon's patients come from & go

Directional shared-patient flow from Medicare claims — who sends patients to this provider (inbound) and where this provider's patients go next (outbound). 101 inbound referrers · 174 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
COBB HOSPITAL, INC143484
Steven Harris
Critical Care (Intensivists) · Austell, GA
122545
Brion Lock
Pulmonary Disease · Marietta, GA
104469
Laboratory Corporation Of America Holdings
Clinical Laboratory · Birmingham, AL
97226
Craig Patterson
Critical Care (Intensivists) · Marietta, GA
95250
Ryan Carrick
Critical Care (Intensivists) · Austell, GA
88264
Brett Sandifer
Critical Care (Intensivists) · Austell, GA
86245
James Waldron
Physician Assistant · Austell, GA
78359
Alexander Gluzman
Critical Care (Intensivists) · Marietta, GA
72218
TUMEH, SABAH66118
JACOBS, LOUIS65129
Charles Lassiter
Critical Care (Intensivists) · Marietta, GA
61161
Refers patients to
Outbound — where patients go next
PhysicianPatientsVisits
PIEDMONT HOSPITAL, INC251633
KENNESTONE HOSPITAL, INC.217778
COBB HOSPITAL, INC159522
Aristidis Iatridis
Critical Care (Intensivists) · Austell, GA
150595
Sriram Paramesh
Pulmonary Disease · Austell, GA
129621
Metro Atlanta Ambulance Services Inc
Ambulance Service Provider · Marietta, GA
123260
Steven Harris
Critical Care (Intensivists) · Austell, GA
122533
Edward Mahan
Physician Assistant · Austell, GA
114417
Quest Diagnostics Clinical Laboratories Inc
Clinical Laboratory · Tucker, GA
110327
Charles Hartley
Pulmonary Disease · Atlanta, GA
100240
Brion Lock
Pulmonary Disease · Marietta, GA
96404
Ryan Carrick
Critical Care (Intensivists) · Austell, GA
85241
Source: CMS Physician Shared Patient Patterns (30-day window, Medicare FFS). Direction = a beneficiary seen by the first provider, then the second, within 30 days; a proxy for referral, not a documented referral. Pairs with fewer than 11 shared beneficiaries are suppressed.