Physician

Joseph Simonett

According to 2025 Medicare claims, Joseph Simonett (NPI: 1770972440) practices ophthalmology in the Portland-Vancouver-Hillsboro, OR-WA market, with the plurality of this provider's patient population coming from Clackamas, OR. This provider's primary affiliated billing organization is EYE HEALTH NORTHWEST, PC (NPI: 1619959731; TIN: 93-1014730) and primary practice location at 97222-6692.

Simonett's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 514 traditional Medicare patients, billed 16,868 HCPCS/CPT codes, and received $947,507 in Medicare payments. The top billing code was 67028 (Injection of drug into eye). Part D data shows 474 prescription claims across 159 beneficiaries totaling $11,714 in drug costs, led by Prednisolone Acetate (Prednisolone Acetate). Open Payments data shows 9 records totaling $5,534. 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 $8,320 to $947,507. Concurrently, Part D prescription costs have moved up and down with repeated peaks and valleys, starting at $6,614 and ending at $11,714. 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$474K$948K2020 Medicare payment: $8,320 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $17,735 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $95,644 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $604,425 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $947,507 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
2015N/RN/RN/R
2016N/RN/RN/R
2017N/RN/RN/R
2018N/RN/RN/R
2019N/RN/RN/R
202064112$8,320
2021135224$17,735
2022188840$95,644
202338410,906$604,425
202451416,868$947,507

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$45K$91K2016 Drug cost: $6,614 (USD; Tot_Drug_Cst)2017 Drug cost: $20,254 (USD; Tot_Drug_Cst)2018 Drug cost: $17,286 (USD; Tot_Drug_Cst)2019 Drug cost: $12,770 (USD; Tot_Drug_Cst)2020 Drug cost: $7,842 (USD; Tot_Drug_Cst)2021 Drug cost: $90,588 (USD; Tot_Drug_Cst)2022 Drug cost: $7,496 (USD; Tot_Drug_Cst)2023 Drug cost: $12,072 (USD; Tot_Drug_Cst)2024 Drug cost: $11,714 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
2015N/RN/RN/R
20161845$6,614
20171746$20,254
201864174$17,286
201981252$12,770
202066182$7,842
2021126285$90,588
202290194$7,496
2023125343$12,072
2024159474$11,714

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
67028Injection of drug into eye190750$98
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more211231$98
J7999Compounded drug, not otherwise classified115433$71
99213Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more269437$71
92134Imaging of retina4721,180$33

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
Prednisolone AcetatePrednisolone Acetate1654,713$5,569
OfloxacinOfloxacin841,881$893
Ketorolac TromethamineKetorolac Tromethamine301,109$566
LatanoprostLatanoprost271,438$518
Dorzolamide-TimololDorzolamide Hcl/Timolol Maleat373,191$476

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.9$5,534Regeneron Pharmaceuticals, 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 Joseph Simonett?

Tedicare shows public-source Medicare data for Joseph Simonett (NPI 1770972440), 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 Joseph Simonett have ACO affiliation data?

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

What billing organization is linked to Joseph Simonett?

Joseph Simonett is linked to EYE HEALTH NORTHWEST, PC (billing NPI 1619959731) in the available physician profile data.

Does Joseph Simonett have Open Payments data?

Joseph Simonett has 9 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.