Physician

Akil Peter Simon, M.D.

According to 2025 Medicare claims, Akil Simon, M.D. (NPI: 1598100877) practices general surgery in the Riverside-San Bernardino-Ontario, CA market, with the plurality of this provider's patient population coming from Riverside, CA. This provider's primary affiliated billing organization is PROVIDENCE PODIATRY CARE, INC (NPI: 1376202986; TIN: 872887822) and primary practice location at 92404-4831. Simon is affiliated with the Sound Physicians Long Term Care Managment II (ACO ID: A5538), participating under the MSSP model.

Simon's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 438 traditional Medicare patients, billed 7,557 HCPCS/CPT codes, and received $2,982,415 in Medicare payments. The top billing code was 11043 (Removal of muscle and/or tissue, 20.0 sq cm or less). Part D data shows 102 prescription claims across 36 beneficiaries totaling $4,701 in drug costs, led by Silver Sulfadiazine (Silver Sulfadiazine). DME data shows 13 claims. No Open Payments records. 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 moved sharply higher in recent years, from $62,674 to $2,982,415. Similarly, Part D prescription costs have moved sharply higher in recent years, from $668 to $4,701. 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.

Year	Patients	Clm Lines	Payment
2015	N/R	N/R	N/R
2016	N/R	N/R	N/R
2017	N/R	N/R	N/R
2018	N/R	N/R	N/R
2019	N/R	N/R	N/R
2020	222	961	$62,674
2021	333	2,979	$221,659
2022	525	5,132	$430,662
2023	466	3,663	$284,899
2024	438	7,557	$2,982,415

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	N/R	N/R	N/R
2016	N/R	N/R	N/R
2017	N/R	N/R	N/R
2018	N/R	13	$668
2019	N/R	34	$403
2020	N/R	13	$442
2021	N/R	N/R	N/R
2022	N/R	N/R	N/R
2023	21	103	$2,783
2024	36	102	$4,701

DME Billing Trend

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

Year	Patients	Claims	Payment
2015	N/R	N/R	N/R
2016	N/R	N/R	N/R
2017	N/R	N/R	N/R
2018	N/R	N/R	N/R
2019	N/R	N/R	N/R
2020	N/R	N/R	N/R
2021	N/R	N/R	N/R
2022	N/R	N/R	N/R
2023	27	61	$28,658
2024	N/R	13	$412

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

Top 5 Part B carrier billing codes in 2024

By total payments.

Code	Description	Patients	Clm Lines	Total Payment
11043	Removal of muscle and/or tissue, 20.0 sq cm or less	134	801	$126
99309	Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	73	201	$89
99304	Initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes	301	356	$62
99308	Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more	356	2,494	$61
11042	Removal of skin and tissue, 20.0 sq cm or less	258	1,188	$45

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Silver Sulfadiazine	Silver Sulfadiazine	25	194	$465
Hydrocodone-Acetaminophen	Hydrocodone/Acetaminophen	11	167	$152

Top 5 DME services in 2024

By Total Medicare Payment Amount.

HCPCS Code	HCPCS Description	Supplier Rental Indicator	Total Supplier Beneficiaries	Total Supplier Claims	Total Medicare Payment Amount
A6219	Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing	N	N/R	13	$412

Open Payments Summary

No connected Open Payments records were found for this physician in General Payments, Research Payments, or Ownership / Investment Interests.

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FAQ

What Medicare data is available for Akil Peter Simon, M.D.?

Tedicare shows public-source Medicare data for Akil Peter Simon, M.D. (NPI 1598100877), 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 Akil Peter Simon, M.D. have ACO affiliation data?

Akil Peter Simon, M.D. is shown with ACO affiliation data for Sound Physicians Long Term Care Managment II (MSSP, ACO ID A5538).

What billing organization is linked to Akil Peter Simon, M.D.?

Akil Peter Simon, M.D. is linked to PROVIDENCE PODIATRY CARE, INC (billing NPI 1376202986) in the available physician profile data.

Does Akil Peter Simon, M.D. have Open Payments data?

No connected Open Payments records are shown for this physician in the available General Payments, Research Payments, or Ownership / Investment Interests 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.