PROVIDER PROFILE · NPI 1427034974

Herold Simon

PRACTICEP & P MEDICAL SERVICES PLLCSee all providers at this practice →

Internal MedicineBrooklyn, NYI

MEDICARE UTILIZATION · PART B · 2024

Total beneficiaries

511

Unique beneficiaries

—

Total services

1,178

Distinct HCPCS

Medicare payment

$72K

Peer benchmark

Total Medicare services vs. 7,864 Internal Medicine providers in NY — above median (cohort median 552).

PRESCRIBING · PART D · 2024

Total Rx claims

6,411

Beneficiaries

—

Total drug cost

$642K

Distinct drugs

139

Brand share

29.4%

Top prescribed drugs

Atorvastatin Calcium463 claims

Apixaban250 claims

Amlodipine Besylate229 claims

Gabapentin178 claims

Nifedipine177 claims

QUALITY · MIPS · 2024

Final MIPS score

96.6

Quality

79.9

Cost

0.0

Improvement activities

40.0

Promoting interop.

88.9

Payment adjustment

0.91%

APM Entity

INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024

Total received

$125

Payment records

By payment type

Food and Beverage$125

REFERRAL NETWORK

Where Herold 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). 5 inbound referrers · 10 outbound destinations.

Receives referrals from

Inbound — who sends patients here

Physician	Patients	Visits
Brian Butler Podiatry · Brooklyn, NY	30	88
OXFORD NURSING HOME, INC	30	96
Allan Santiago Internal Medicine · Brooklyn, NY	17	52
Michelle Battaglia-Capogna Optometry · Plainview, NY	17	22
THE BROOKLYN HOSPITAL CENTER	13	51

Refers patients to

Outbound — where patients go next

Physician	Patients	Visits
Brian Butler Podiatry · Brooklyn, NY	31	63
MODERN DIAGNOSTIC LABORATORY, INC	29	327
OXFORD NURSING HOME, INC	27	71
Kang Yu Psychiatry & Neurology · Brooklyn, NY	23	58
ACCURATE DIAGNOSTICS LABS, INC.	21	45
Michelle Battaglia-Capogna Optometry · Plainview, NY	19	36
Allan Santiago Internal Medicine · Brooklyn, NY	16	40
THE BROOKLYN HOSPITAL CENTER	12	64
Markiel Yakubov Optometry · Kew Gardens, NY	11	20
FIRST RESPONSE AMBULANCE, INC.	11	48

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.

CROSS-REFERENCE

Related data on other Healthparse brands

ProviderScore

OIG/SAM exclusion screening, sanctions history