Physician

Peter T Simonian, M.D.

According to 2025 Medicare claims, Peter Simonian, M.D. (NPI: 1679571624) practices orthopedic surgery in the Fresno, CA market, with the plurality of this provider's patient population coming from Fresno, CA. This provider's primary affiliated billing organization is COMMUNITY FOUNDATION MEDICAL GROUP (NPI: 1811258510; TIN: 270271872) and primary practice location at 93611-6880.

Simonian's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 1,579 traditional Medicare patients, billed 106,230 HCPCS/CPT codes, and received $1,140,122 in Medicare payments. The top billing code was 99203 (New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more). 2023 Part D data shows 12 prescription claims totaling $140 in drug costs. DME data shows 136 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 risen steadily, from $768,376 to $1,140,122. In contrast, Part D prescription costs have fallen sharply in recent years, from $1,664 to $140. 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$958K$1.9M2015 Medicare payment: $768,376 (USD; Tot_Mdcr_Pymt_Amt)2016 Medicare payment: $777,876 (USD; Tot_Mdcr_Pymt_Amt)2017 Medicare payment: $832,944 (USD; Tot_Mdcr_Pymt_Amt)2018 Medicare payment: $881,474 (USD; Tot_Mdcr_Pymt_Amt)2019 Medicare payment: $1,278,357 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $926,970 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $1,065,367 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $1,915,539 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $1,415,617 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $1,140,122 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
20151,1297,574$768,376
20161,1938,115$777,876
20171,3088,824$832,944
20181,4319,373$881,474
20191,57810,126$1,278,357
20201,5389,225$926,970
20211,48219,458$1,065,367
20221,56287,776$1,915,539
20231,51597,252$1,415,617
20241,579106,230$1,140,122

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$1.3K$2.6K2015 Drug cost: $1,664 (USD; Tot_Drug_Cst)2016 Drug cost: $1,384 (USD; Tot_Drug_Cst)2017 Drug cost: $1,939 (USD; Tot_Drug_Cst)2018 Drug cost: $2,640 (USD; Tot_Drug_Cst)2019 Drug cost: $1,488 (USD; Tot_Drug_Cst)2020 Drug cost: $1,261 (USD; Tot_Drug_Cst)2021 Drug cost: $788 (USD; Tot_Drug_Cst)2023 Drug cost: $140 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
201573112$1,664
20165379$1,384
201783126$1,939
201858105$2,640
20195186$1,488
20202641$1,261
20211831$788
2022N/RN/RN/R
2023N/R12$140
2024N/RN/RN/R

DME Billing Trend

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

DME Billing Trend. X-axis: year 2015-2024. Y-axis: Medicare payment, unit: USD. Field: DME_Suplr_Mdcr_Pymt_Amt. Source: Medicare DME, Devices & Supplies by Referring Provider.0$19K$38K2017 Medicare payment: $37,680 (USD; DME_Suplr_Mdcr_Pymt_Amt)2018 Medicare payment: $19,417 (USD; DME_Suplr_Mdcr_Pymt_Amt)2019 Medicare payment: $19,387 (USD; DME_Suplr_Mdcr_Pymt_Amt)2020 Medicare payment: $17,590 (USD; DME_Suplr_Mdcr_Pymt_Amt)2021 Medicare payment: $18,980 (USD; DME_Suplr_Mdcr_Pymt_Amt)2022 Medicare payment: $19,215 (USD; DME_Suplr_Mdcr_Pymt_Amt)2023 Medicare payment: $18,915 (USD; DME_Suplr_Mdcr_Pymt_Amt)2024 Medicare payment: $14,238 (USD; DME_Suplr_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClaimsPayment
2015N/RN/RN/R
2016N/RN/RN/R
2017191196$37,680
2018186192$19,417
2019184184$19,387
2020168169$17,590
2021177178$18,980
2022181182$19,215
2023184184$18,915
2024135136$14,238

* / # = 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
99203New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more306306$81
99213Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more1,2032,246$68
20610Aspiration and/or injection of fluid from large joint1,0933,575$58
J0702Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg434606$5
J7320Hyaluronan or derivitive, genvisc 850, for intra-articular injection, 1 mg79197,425$4

Top 5 Part D drugs in 2024

By total drug costs.

No connected Part D drug-level records for 2024.

Top 5 DME services in 2024

By Total Medicare Payment Amount.

HCPCS CodeHCPCS DescriptionSupplier Rental IndicatorTotal Supplier BeneficiariesTotal Supplier ClaimsTotal Medicare Payment Amount
L3670Shoulder orthosis, acromio/clavicular (canvas and webbing type), prefabricated, off-the-shelfN135136$14,238

Open Payments Summary

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

FAQ

What Medicare data is available for Peter T. Simonian, M.D.?

Tedicare shows public-source Medicare data for Peter T. Simonian, M.D. (NPI 1679571624), 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 Peter T. Simonian, M.D. have ACO affiliation data?

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

What billing organization is linked to Peter T. Simonian, M.D.?

Peter T. Simonian, M.D. is linked to COMMUNITY FOUNDATION MEDICAL GROUP (billing NPI 1811258510) in the available physician profile data.

Does Peter T. Simonian, 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.