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PROVIDER PROFILE · NPI 1417908468

Paul SimonD.O.

PathologyToms River, NJI
CROSS-REFERENCE

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ProviderScore
OIG/SAM exclusion screening, sanctions history
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QUALITY · MIPS · 2024
Final MIPS score
95.3
Quality
96.6
Cost
81.8
Improvement activities
40.0
Promoting interop.
99.0
Payment adjustment
0.86%
Group
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
No data available for this provider in 2024.
PRESCRIBING · PART D · 2024
No data available for this provider in 2024.
MEDICARE UTILIZATION · PART B · 2024
Total beneficiaries
1,494
Unique beneficiaries
—
Total services
2,321
Distinct HCPCS
19
Medicare payment
$62K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 264 Pathology providers in NJ — above median (cohort median 2,025).
REFERRAL NETWORK

Where Paul 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). 75 inbound referrers · 74 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
CENTRASTATE MEDICAL CENTER, INC6161,308
Janet Spector
Diagnostic Radiology · Freehold, NJ
119196
Kenneth Romano
Diagnostic Radiology · Freehold, NJ
93154
Jeffrey Friedenberg
Diagnostic Radiology · Freehold, NJ
90141
KEKLAK, C.89152
Peter Kouveliotes
Diagnostic Radiology · Freehold, NJ
82129
Peter Mezzacappa
Diagnostic Radiology · Freehold, NJ
80114
Kenneth Tomkovich
Diagnostic Radiology · Freehold, NJ
77153
Bioreference Health, Llc
Clinical Laboratory · Elmwood Park, NJ
71155
Thomas Westerman
Certified Registered Nurse Anesthetist (CRNA) · Freehold, NJ
6496
Laboratory Corporation Of America Holdings
Clinical Laboratory · Raritan, NJ
62114
Frank Coppolino
Pulmonary Disease · Freehold, NJ
59157
Refers patients to
Outbound — where patients go next
PhysicianPatientsVisits
CENTRASTATE MEDICAL CENTER, INC206429
MONMOUTH OCEAN HOSPITAL SERVICE CORPORATION67148
Bioreference Health, Llc
Clinical Laboratory · Elmwood Park, NJ
60156
Laboratory Corporation Of America Holdings
Clinical Laboratory · Raritan, NJ
5896
Stanley Rich
Diagnostic Radiology · Freehold, NJ
5684
Nirav Shah
Pulmonary Disease · Freehold, NJ
42146
Kenneth Tomkovich
Diagnostic Radiology · Freehold, NJ
4273
Janet Spector
Diagnostic Radiology · Freehold, NJ
4157
Kenneth Barofsky
Pulmonary Disease · Freehold, NJ
3888
KEKLAK, C.3554
Jeffrey Friedenberg
Diagnostic Radiology · Freehold, NJ
3545
HEALTH AFFILIATES, INC.3483
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.