PROVIDER PROFILE · NPI 1730366865

Edmund SimonM.D.

Radiation OncologyCumming, GAI

MEDICARE UTILIZATION · PART B · 2024

Total beneficiaries

962

Unique beneficiaries

—

Total services

2,694

Distinct HCPCS

Medicare payment

$195K

Peer benchmark

Total Medicare services vs. 139 Radiation Oncology providers in GA — top quintile (cohort median 1,616).

PRESCRIBING · PART D · 2024

Total Rx claims

Beneficiaries

—

Total drug cost

$365

Distinct drugs

Brand share

0.0%

Top prescribed drugs

Dexamethasone20 claims

QUALITY · MIPS · 2024

Final MIPS score

98.8

Quality

98.7

Cost

83.1

Improvement activities

40.0

Promoting interop.

0.0

Payment adjustment

1.00%

Group

INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024

No data available for this provider in 2024.

REFERRAL NETWORK

Where Edmund 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). 7 inbound referrers · 0 outbound destinations.

Receives referrals from

Inbound — who sends patients here

Physician	Patients	Visits
NORTHSIDE HOSPITAL, INC.	63	424
NORTHSIDE HOSPITAL, INC.	56	404
NORTHSIDE HOSPITAL, INC.	54	615
Peter Possert Radiation Oncology · Canton, GA	51	1,579
NPI 1255371795	17	233
Laboratory Corporation Of America Holdings Clinical Laboratory · Birmingham, AL	13	67
Gena Volas-Redd Hematology-Oncology · Marietta, GA	12	75

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