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Data Sources: Centers for Medicare & Medicaid Services (CMS), Medicare Provider Utilization and Payment Data
Disclaimer: This site is an independent journalism project. Data analysis and editorial content are not affiliated with or endorsed by CMS or any government agency. All spending figures are based on publicly available Medicare payment records.
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ยฉ 2026 OpenMedicare. Independent data journalism. Built by TheDataProject.ai

Methodologyโ€ขDownload Data
  1. Home
  2. Providers
  3. Daniel Simon
๐Ÿ“ก
MDIndividual

Daniel Simon, M.D.

NPI: 1013997428
New Brunswick, NJ
10 years of data
Interventional Radiology
$46.1M
Total Payments
243
Beneficiaries
89.7K
Services
3.12x
Markup Ratio

Peer Comparison

99th
percentile in specialty
This provider$46.1M
Specialty median$146.5K
Rank #2 of 5 in specialty

๐Ÿ“‹ Key Findings

1Billed $46.1M over 10 years
23.12x markup ratio (above median)
399th percentile in Interventional Radiology by payments
4Payments surged 124% in 2016
513 procedures with >3x markup
โœ“ No flags detected

๐Ÿ”Ž Data Analysis

This provider's $46.1M in total Medicare payments ranks in the 99th percentile of Interventional Radiology providers nationally.

Medicare payments to this provider grew 88% from 2014 to 2023.

AI-generated analysis based on Medicare payment data.

Annual Medicare Payments

Annual Services Provided

Avg Payment per Service

Markup Ratio Over Time

๐Ÿ“ˆ

Notable: Payments increased 124% in 2016

Year-over-year payment surges can indicate changes in practice volume, new services, or billing pattern shifts.

Submitted Charges vs. Medicare Payments

Average per-service amounts submitted by the provider compared to what Medicare actually paid โ€” the gap represents the markup.

YearAvg SubmittedAvg PaidMarkup RatioGap per ServiceTotal PaymentsServicesBeneficiaries
2014$1.5K$493.173.13x$1.1K$2.2M4.5K21
2015$2.0K$631.673.10x$1.3K$2.4M3.8K23
2016$3.3K$1.1K2.95x$2.2K$5.4M4.8K26
2017$5.0K$1.6K3.03x$3.4K$6.1M3.7K23
2018$3.0K$978.843.07x$2.0K$4.9M5.0K20
2019$3.3K$1.3K2.62x$2.1K$6.1M4.8K24
2020$4.7K$1.7K2.85x$3.1K$3.1M1.9K25
2021$1.6K$496.313.16x$1.1K$5.9M11.9K35
2022$817.73$226.373.61x$591.36$5.7M25.1K23
2023$649.86$174.303.73x$475.56$4.2M24.2K23

Top Procedures (20)

37229Removal of plaque in artery of leg, initial vessel
$17.6M
1.9K services$9.2K/svc2.90x markup
37225Removal of plaque in arteries of legโš  3.3x markup
$7.9M
959 services$8.2K/svc3.30x markup
37227Removal of plaque and insertion of stents in arteries of leg
$5.6M
440 services$12.6K/svc2.76x markup
37231Removal of plaque and insertion of stents in artery of leg, initial vessel
$5.2M
412 services$12.5K/svc2.58x markup
37252Ultrasound evaluation of blood vessel with review by radiologist, initial vesselโš  3.2x markup
$2.1M
1.9K services$1.1K/svc3.18x markup
37238Insertion of stent in vein with review by radiologist, initial vein
$1.1M
300 services$3.7K/svc2.58x markup
35476Balloon dilation of narrowed or blocked vein, accessed through the skin
$982.3K
859 services$1.1K/svc2.97x markup
37233Removal of plaque in artery of leg, each additional vesselโš  3.3x markup
$726.1K
607 services$1.2K/svc3.28x markup
36247Insertion of tube into abdominal, pelvic, or leg artery, initial third order branchโš  4.9x markup
$638.8K
751 services$850.63/svc4.87x markup
37228Balloon dilation of artery of one leg, endovascular, accessed through the skin or open procedureโš  3.8x markup
$431.2K
128 services$3.4K/svc3.83x markup
37253Ultrasound evaluation of blood vessel with review by radiologist, each additional vesselโš  7.6x markup
$405.5K
2.4K services$168.62/svc7.57x markup
36215Insertion of tube into chest or arm artery, each first order branchโš  4.5x markup
$403.9K
702 services$575.41/svc4.46x markup
36147Insertion of needle and/or catheter for dialysisโš  4.9x markup
$322.3K
799 services$403.43/svc4.87x markup
37197Retrieval of foreign body in blood vessel with review by radiologistโš  6.8x markup
$257.5K
356 services$723.26/svc6.75x markup
37221Insertion of stent in groin artery, initial vesselโš  5.6x markup
$229.6K
97 services$2.4K/svc5.64x markup
75710Review by radiologist of arm or leg artery image
$215.4K
1.5K services$145.07/svc2.95x markup
37220Balloon dilation of groin artery, initial vesselโš  6.3x markup
$185.6K
117 services$1.6K/svc6.33x markup
36200Insertion of catheter into aortaโš  5.4x markup
$162.9K
552 services$295.16/svc5.37x markup
75716Review by radiologist of both arms or legs arteries imageโš  4.6x markup
$160.2K
993 services$161.33/svc4.63x markup
37239Insertion of intravascular stents in vein, open or accessed through the skin, with radiological supervision and interpretation, each additional vein
$150.1K
82 services$1.8K/svc2.71x markup
Show detailed table โ–พ
CodeDescriptionServicesPaymentsAvg/ServiceMarkup
37229Removal of plaque in artery of leg, initial vessel1.9K$17.6M$9.2K2.90x
37225Removal of plaque in arteries of leg959$7.9M$8.2K3.30x
37227Removal of plaque and insertion of stents in arteries of leg440$5.6M$12.6K2.76x
37231Removal of plaque and insertion of stents in artery of leg, initial vessel412$5.2M$12.5K2.58x
37252Ultrasound evaluation of blood vessel with review by radiologist, initial vessel1.9K$2.1M$1.1K3.18x
37238Insertion of stent in vein with review by radiologist, initial vein300$1.1M$3.7K2.58x
35476Balloon dilation of narrowed or blocked vein, accessed through the skin859$982.3K$1.1K2.97x
37233Removal of plaque in artery of leg, each additional vessel607$726.1K$1.2K3.28x
36247Insertion of tube into abdominal, pelvic, or leg artery, initial third order branch751$638.8K$850.634.87x
37228Balloon dilation of artery of one leg, endovascular, accessed through the skin or open procedure128$431.2K$3.4K3.83x
37253Ultrasound evaluation of blood vessel with review by radiologist, each additional vessel2.4K$405.5K$168.627.57x
36215Insertion of tube into chest or arm artery, each first order branch702$403.9K$575.414.46x
36147Insertion of needle and/or catheter for dialysis799$322.3K$403.434.87x
37197Retrieval of foreign body in blood vessel with review by radiologist356$257.5K$723.266.75x
37221Insertion of stent in groin artery, initial vessel97$229.6K$2.4K5.64x
75710Review by radiologist of arm or leg artery image1.5K$215.4K$145.072.95x
37220Balloon dilation of groin artery, initial vessel117$185.6K$1.6K6.33x
36200Insertion of catheter into aorta552$162.9K$295.165.37x
75716Review by radiologist of both arms or legs arteries image993$160.2K$161.334.63x
37239Insertion of intravascular stents in vein, open or accessed through the skin, with radiological supervision and interpretation, each additional vein82$150.1K$1.8K2.71x

Markup Analysis

Charge-to-Payment Ratio

3.12x

This provider submits charges 3.12 times higher than what Medicare actually pays.

What This Means

A markup ratio of 3.12x means for every $100 Medicare pays, this provider initially charges $312. This is higher than the national average.

Location

New Brunswick, NJ

Provider Verification

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Data Sources

  • โ€ข Centers for Medicare & Medicaid Services (CMS)
  • โ€ข Medicare Provider Utilization and Payment Data (2014-2023)
  • โ€ข National Plan and Provider Enumeration System (NPPES)

Last Updated: February 2026 (data through 2023, the latest CMS release)

Note: All data is from publicly available Medicare records. OpenMedicare is an independent journalism project not affiliated with CMS.

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