PROVIDER PROFILE · NPI 1508950130

Matthias SimonM.D., PH.D.

NephrologyLive Oak, TXI

MEDICARE UTILIZATION · PART B · 2024

Total beneficiaries

1,146

Unique beneficiaries

—

Total services

4,099

Distinct HCPCS

Medicare payment

$277K

Peer benchmark

Total Medicare services vs. 883 Nephrology providers in TX — top quintile (cohort median 1,432).

PRESCRIBING · PART D · 2024

Total Rx claims

2,164

Beneficiaries

—

Total drug cost

$839K

Distinct drugs

Brand share

27.8%

Top prescribed drugs

Allopurinol221 claims

Calcitriol157 claims

Furosemide113 claims

Dapagliflozin Propanediol112 claims

Sucroferric Oxyhydroxide110 claims

QUALITY · MIPS · 2024

Final MIPS score

75.0

Quality

0.0

Cost

0.0

Improvement activities

0.0

Promoting interop.

0.0

Payment adjustment

0.00%

Group

INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024

Total received

$722

Payment records

By payment type

Food and Beverage$722

REFERRAL NETWORK

Where Matthias 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). 53 inbound referrers · 0 outbound destinations.

Receives referrals from

Inbound — who sends patients here

Physician	Patients	Visits
Clinical Pathology Laboratories, Inc. Clinical Laboratory · Austin, TX	174	403
METHODIST HEALTHCARE SYSTEM OF SAN ANTONIO, LTD., L.L.P.	123	377
Julio Araujo Nephrology · San Antonio, TX	73	603
METRO AMBULANCE, LP	50	308
Navid Saigal Nephrology · Live Oak, TX	48	83
CHRISTUS SANTA ROSA HEALTH CARE CORPORATION	47	199
Shadi Mourad Nephrology · Seguin, TX	41	585
SPECTRA LABORATORIES INC	34	212
IN HOME HEALTH LLC	31	186
City Of San Antonio Texas Ambulance Service Provider · San Antonio, TX	29	84
Rashid Sharaf Nephrology · San Antonio, TX	26	114
John Stoll Diagnostic Radiology · San Antonio, TX	24	97

Refers patients to

Outbound — where patients go next

No outbound pairs above the suppression threshold.

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