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PROVIDER PROFILE · NPI 1346215449

Marc SimonMD

Advanced Heart Failure and Transplant CardiologySan Francisco, CAI
CROSS-REFERENCE

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ProviderScore
OIG/SAM exclusion screening, sanctions history
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QUALITY · MIPS · 2024
Final MIPS score
87.0
Quality
86.8
Cost
70.5
Improvement activities
40.0
Promoting interop.
0.0
Payment adjustment
0.51%
Group
PRESCRIBING · PART D · 2024
Total Rx claims
380
Beneficiaries
—
Total drug cost
$3.2M
Distinct drugs
16
Brand share
57.9%
Top prescribed drugs
Selexipag53 claims
Empagliflozin44 claims
Treprostinil42 claims
Spironolactone41 claims
Macitentan34 claims
MEDICARE UTILIZATION · PART B · 2024
Total beneficiaries
249
Unique beneficiaries
—
Total services
434
Distinct HCPCS
6
Medicare payment
$32K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 65 Advanced Heart Failure and Transplant Cardiology providers in CA — below median (cohort median 1,349).
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
Total received
$21K
Payment records
40
By payment type
Consulting Fee$16K
Travel and Lodging$3K
Food and Beverage$2K
REFERRAL NETWORK

Where Marc 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). 16 inbound referrers · 32 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
David Ishizawar
Cardiology · Raleigh, NC
54606
Michael Mathier
Cardiology · Pittsburgh, PA
39357
Ravi Ramani
Advanced Heart Failure and Transplant Cardiology · Pittsburgh, PA
38318
UPMC PRESBYTERIAN SHADYSIDE37137
Janet Durick
Diagnostic Radiology · Pittsburgh, PA
34195
Dennis Mcnamara
Cardiology · Pittsburgh, PA
30166
Glenn Andrews
Diagnostic Radiology · Pittsburgh, PA
26115
David Schwartzman
Clinical Cardiac Electrophysiology · Uniontown, PA
2397
Elliott Gozansky
Diagnostic Radiology · Birmingham, AL
2188
William Katz
Cardiology · Pittsburgh, PA
2052
Jenifer Lee
Cardiology · Pittsburgh, PA
1892
Aryan Aiyer
Cardiology · Pittsburgh, PA
1746
Refers patients to
Outbound — where patients go next
PhysicianPatientsVisits
UPMC PRESBYTERIAN SHADYSIDE134559
Jeffrey Teuteberg
Cardiology · Stanford, CA
50483
David Ishizawar
Cardiology · Raleigh, NC
49479
Iclal Ocak
Diagnostic Radiology · Chicago, IL
41124
Ravi Ramani
Advanced Heart Failure and Transplant Cardiology · Pittsburgh, PA
40392
Michael Mathier
Cardiology · Pittsburgh, PA
34260
Dennis Mcnamara
Cardiology · Pittsburgh, PA
32200
NPI 171095084531140
Janet Durick
Diagnostic Radiology · Pittsburgh, PA
28139
Glenn Andrews
Diagnostic Radiology · Pittsburgh, PA
27142
Elliott Gozansky
Diagnostic Radiology · Birmingham, AL
26116
Joan Lacomis
Diagnostic Radiology · Pittsburgh, PA
25107
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.