Physician

Joshua Adrian Simon, D.O.

According to 2025 Medicare claims, Joshua Simon, D.O. (NPI: 1356766554) practices general surgery in the Port St. Lucie, FL market, with the plurality of this provider's patient population coming from St. Lucie, FL. This provider's primary affiliated billing organization is SOUTH FLORIDA PREMIER SURGERY LLC (NPI: 1912765835; TIN: 991493813) and primary practice location at 33445-6503.

Simon's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 795 traditional Medicare patients, billed 3,912 HCPCS/CPT codes, and received $378,268 in Medicare payments. The top billing code was 99291 (Critical care, first 30-74 minutes). Part D data shows 73 prescription claims across 50 beneficiaries totaling $3,619 in drug costs, led by Doxycycline Hyclate (Doxycycline Hyclate). Open Payments data shows 14 records totaling $708. You can download detailed data with all billing codes (2015-2024). For more recent data, please contact us.

Over the past 10 years, this provider's Medicare Part B carrier billing has risen steadily, from $26,114 to $378,268. Similarly, Part D prescription costs have moved sharply higher in recent years, from $1,005 to $3,619. For DME billing, this provider has fewer than 5 years of reported data, so a reliable trend cannot be assigned.

Part B Carrier Billing Trend

Medicare payment trend, with N of patients and claim lines in the table.

Part B Carrier Billing Trend. X-axis: year 2015-2024. Y-axis: Medicare payment, unit: USD. Field: Tot_Mdcr_Pymt_Amt. Source: Medicare Physician & Other Practitioners by Provider.0$202K$404K2018 Medicare payment: $26,114 (USD; Tot_Mdcr_Pymt_Amt)2019 Medicare payment: $212,309 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $226,673 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $398,138 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $372,504 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $404,287 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $378,268 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
2015N/RN/RN/R
2016N/RN/RN/R
2017N/RN/RN/R
2018106228$26,114
20195511,806$212,309
20206941,956$226,673
20218033,307$398,138
20229233,375$372,504
20239283,535$404,287
20247953,912$378,268

Part D Events Trend

Drug cost trend, with N of patients and prescription claims in the table.

Part D Events Trend. X-axis: year 2015-2024. Y-axis: Drug cost, unit: USD. Field: Tot_Drug_Cst. Source: Medicare Part D Prescribers by Provider.0$2.3K$4.7K2018 Drug cost: $1,005 (USD; Tot_Drug_Cst)2019 Drug cost: $1,220 (USD; Tot_Drug_Cst)2020 Drug cost: $2,125 (USD; Tot_Drug_Cst)2021 Drug cost: $807 (USD; Tot_Drug_Cst)2022 Drug cost: $1,073 (USD; Tot_Drug_Cst)2023 Drug cost: $4,689 (USD; Tot_Drug_Cst)2024 Drug cost: $3,619 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
2015N/RN/RN/R
2016N/RN/RN/R
2017N/RN/RN/R
20181419$1,005
20193871$1,220
20202750$2,125
20213867$807
20223648$1,073
20233645$4,689
20245073$3,619

DME Billing Trend

Medicare payment trend, with N of patients and DME claim records in the table.

No connected DME records

No connected DME records

* / # = suppressed by CMS; 0 = reported zero; N/R = not reported or blank.

Top 5 Part B carrier billing codes in 2024

By total payments.

CodeDescriptionPatientsClm LinesTotal Payment
99291Critical care, first 30-74 minutes125156$171
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes228252$139
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more82192$102
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes4061,416$95
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes221701$63

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
Doxycycline HyclateDoxycycline Hyclate16168$183

Top 5 DME services in 2024

No connected or detailed DME service-level records for 2024.

Open Payments Summary in 2024

CategoryDefinitionRecordsTotal Reported AmountTop Related Entity
General PaymentsReported payment or transfer-of-value amount.14$708ATRICURE, INC.
Research PaymentsReported research-related payment or transfer-of-value amount.0$0N/R
Ownership / Investment InterestsReported value of ownership or investment interests.0$0N/R

FAQ

What Medicare data is available for Joshua Adrian Simon, D.O.?

Tedicare shows public-source Medicare data for Joshua Adrian Simon, D.O. (NPI 1356766554), including provider identity, specialty, market context, Medicare Part B activity, Part D prescribing, DME records, Open Payments where available, billing organization details, and ACO affiliation signals where available. Profile data covers 2015-2024, with current attribution based on 2025 claims where available.

Does Joshua Adrian Simon, D.O. have ACO affiliation data?

No ACO affiliation record is shown in the available Tedicare data for this profile.

What billing organization is linked to Joshua Adrian Simon, D.O.?

Joshua Adrian Simon, D.O. is linked to SOUTH FLORIDA PREMIER SURGERY LLC (billing NPI 1912765835) in the available physician profile data.

Does Joshua Adrian Simon, D.O. have Open Payments data?

Joshua Adrian Simon, D.O. has 14 connected Open Payments records in the available 2024 summary data.

Can I download physician-level Medicare data from Tedicare?

Yes. Tedicare provides sample physician export data and paid custom physician data exports for research, planning, outreach, and market analysis. Exports can include physician profile fields, market and specialty context, billing organization details, ACO affiliation signals where available, and Medicare utilization data.