Physician

Simon Maltais, MD

According to 2025 Medicare claims, Simon Maltais, MD (NPI: 1457665911) practices thoracic surgery in the Great Falls, MT market, with the plurality of this provider's patient population coming from Cascade, MT. This provider's primary affiliated billing organization is GREAT FALLS CLINIC LLC (NPI: 1801897780; TIN: 841396628) and primary practice location at 59405-5240. Maltais is affiliated with the Rocky Mountain Accountable Health Network, Inc (ACO ID: A2217), PRIVIA QUALITY NETWORK - I LLC (ACO ID: A5533), and CoreHealth Alliance LLC (ACO ID: A5645), participating under the MSSP model.

Maltais' data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 75 traditional Medicare patients, billed 177 HCPCS/CPT codes, and received $80,999 in Medicare payments. The top billing code was 33533 (Coronary artery bypass using artery graft, 1 graft). Part D data shows 51 prescription claims across 29 beneficiaries totaling $543 in drug costs. Open Payments data shows 21 records totaling $6,997. 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 started with an early spike, then settled into a lower baseline, moving from $127,606 to $80,999. Concurrently, this provider has fewer than 5 years of reported Part D prescription costs data, so a reliable trend cannot be assigned. 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$138K$275K2015 Medicare payment: $127,606 (USD; Tot_Mdcr_Pymt_Amt)2016 Medicare payment: $275,155 (USD; Tot_Mdcr_Pymt_Amt)2017 Medicare payment: $248,124 (USD; Tot_Mdcr_Pymt_Amt)2018 Medicare payment: $188,388 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $32,602 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $49,786 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $131,947 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $93,861 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $80,999 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
2015109239$127,606
2016178444$275,155
2017204465$248,124
2018134311$188,388
2019N/RN/RN/R
20202953$32,602
20213687$49,786
202278225$131,947
202386186$93,861
202475177$80,999

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$7.6K$15K2015 Drug cost: $15,228 (USD; Tot_Drug_Cst)2022 Drug cost: $1,029 (USD; Tot_Drug_Cst)2023 Drug cost: $2,079 (USD; Tot_Drug_Cst)2024 Drug cost: $543 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
20151251$15,228
2016N/RN/RN/R
2017N/RN/RN/R
2018N/RN/RN/R
2019N/RN/RN/R
2020N/RN/RN/R
2021N/RN/RN/R
20222342$1,029
202349106$2,079
20242951$543

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
33533Coronary artery bypass using artery graft, 1 graft1818$1,171
99205New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more1111$133

Top 5 Part D drugs in 2024

By total drug costs.

Part D summary data is connected for 2024, but public drug-level costs are not available, so a Top 5 by total drug costs cannot be shown.

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.21$6,997Edwards Lifesciences Corporation
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 Simon Maltais, MD?

Tedicare shows public-source Medicare data for Simon Maltais, MD (NPI 1457665911), 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 Simon Maltais, MD have ACO affiliation data?

Simon Maltais, MD is shown with ACO affiliation data for Rocky Mountain Accountable Health Network, Inc (MSSP, ACO ID A2217), PRIVIA QUALITY NETWORK - I LLC (MSSP, ACO ID A5533), and CoreHealth Alliance LLC (MSSP, ACO ID A5645).

What billing organization is linked to Simon Maltais, MD?

Simon Maltais, MD is linked to GREAT FALLS CLINIC LLC (billing NPI 1801897780) in the available physician profile data.

Does Simon Maltais, MD have Open Payments data?

Simon Maltais, MD has 21 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.