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PROVIDER PROFILE · NPI 1407951338

Luigi SimoneM.D.

Family PracticeEncinitas, CAI
CROSS-REFERENCE

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ProviderScore
OIG/SAM exclusion screening, sanctions history
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MEDICARE UTILIZATION · PART B · 2024
Total beneficiaries
1,620
Unique beneficiaries
—
Total services
2,326
Distinct HCPCS
23
Medicare payment
$140K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 8,228 Family Practice providers in CA — top quintile (cohort median 411).
QUALITY · MIPS · 2024
No data available for this provider in 2024.
REFERRAL NETWORK

Where Luigi Simone'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). 10 inbound referrers · 15 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
FRANCIS, DAVID3586
Scripps Health
Clinical Laboratory · La Jolla, CA
2679
VARNEY, ROBERT2442
Riaz Ahmed
Cardiology · Encinitas, CA
1734
James Mason
Medical Oncology · La Jolla, CA
1582
AHERN, THOMAS1524
Ratana Bhardwaj
Diagnostic Radiology · San Diego, CA
1427
Kent Thompson
Diagnostic Radiology · Rancho Mirage, CA
1331
Darren Sigal
Hematology-Oncology · La Jolla, CA
1354
Paul Sylvan
Diagnostic Radiology · Rancho Mirage, CA
1123
Refers patients to
Outbound — where patients go next
PhysicianPatientsVisits
Scripps Health
Clinical Laboratory · San Diego, CA
1861,449
SCRIPPS HEALTH111356
SCRIPPS HEALTH4275
FRANCIS, DAVID2041
Riaz Ahmed
Cardiology · Encinitas, CA
1845
Timothy Lovell
Family Practice · Encinitas, CA
1738
Scripps Health
Clinical Laboratory · La Jolla, CA
1769
VARNEY, ROBERT1624
Kris Van Lom
Diagnostic Radiology · La Jolla, CA
1630
Gordon Kim
Gastroenterology · Encinitas, CA
1541
James Mason
Medical Oncology · La Jolla, CA
1482
Paul Rickards
Diagnostic Radiology · La Jolla, CA
1419
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.
PRESCRIBING · PART D · 2024
Total Rx claims
4,776
Beneficiaries
—
Total drug cost
$214K
Distinct drugs
85
Brand share
15.8%
Top prescribed drugs
Atorvastatin Calcium332 claims
Rosuvastatin Calcium293 claims
Losartan Potassium287 claims
Amlodipine Besylate277 claims
Lisinopril201 claims
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
Total received
$247
Payment records
3
By payment type
Food and Beverage$247