PROVIDER PROFILE · NPI 1851394936

Simon HallM.D.

UrologyNew Hyde Park, NYI

MEDICARE UTILIZATION · PART B · 2024

Total beneficiaries

2,301

Unique beneficiaries

—

Total services

2,975

Distinct HCPCS

Medicare payment

$148K

Peer benchmark

Total Medicare services vs. 756 Urology providers in NY — above median (cohort median 1,574).

PRESCRIBING · PART D · 2024

Total Rx claims

2,896

Beneficiaries

—

Total drug cost

$647K

Distinct drugs

Brand share

16.9%

Top prescribed drugs

Tamsulosin Hcl827 claims

Finasteride579 claims

Terazosin Hcl355 claims

Alfuzosin Hcl200 claims

Abiraterone Acetate76 claims

QUALITY · MIPS · 2024

Final MIPS score

93.1

Quality

79.8

Cost

0.0

Improvement activities

40.0

Promoting interop.

88.8

Payment adjustment

0.76%

APM Entity

INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024

No data available for this provider in 2024.

REFERRAL NETWORK

Where Simon Hall'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). 9 inbound referrers · 0 outbound destinations.

Receives referrals from

Inbound — who sends patients here

Physician	Patients	Visits
Northwell Health Laboratories Clinical Laboratory · New Hyde Park, NY	172	499
NORTH SHORE UNIVERSITY HOSPITAL	125	675
MOUNT SINAI HOSPITAL	50	163
LONG ISLAND JEWISH MEDICAL CENTER	23	171
Laboratory Corporation Of America Holdings Clinical Laboratory · Raritan, NJ	17	65
Eran Ben-Levi Diagnostic Radiology · Manhasset, NY	15	29
Sunrise Medical Laboratories, Inc. Clinical Laboratory · Hicksville, NY	14	44
Quest Diagnostics Clinical Laboratories Inc Clinical Laboratory · Melville, NY	14	48
Robert Villani Diagnostic Radiology · East Providence, RI	11	20

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