Physician

Matthew P. Simonich, MD

According to 2025 Medicare claims, Matthew Simonich, MD (NPI: 1790755056) practices orthopedic surgery in the Pueblo, CO market, with the plurality of this provider's patient population coming from Pueblo, CO. This provider's primary affiliated billing organization is PUEBLO BONE AND JOINT CLINIC LLC (NPI: 1568534642; TIN: 841586947) and primary practice location at 81004-3733. Simonich is affiliated with the Rocky Mountain Accountable Health Network, Inc (ACO ID: A2217), participating under the MSSP model.

Simonich's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 219 traditional Medicare patients, billed 2,375 HCPCS/CPT codes, and received $108,367 in Medicare payments. The top billing code was 99214 (Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more). Part D data shows 278 prescription claims across 135 beneficiaries totaling $5,336 in drug costs, led by Oxycodone-Acetaminophen (Oxycodone Hcl/Acetaminophen). 2022 DME data shows 11 claims. Open Payments data shows 7 records totaling $203. 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 declined steadily, from $137,976 to $108,367. Similarly, Part D prescription costs have moved from a higher plateau to a lower plateau, from $9,243 to $5,336. 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$96K$192K2015 Medicare payment: $137,976 (USD; Tot_Mdcr_Pymt_Amt)2016 Medicare payment: $176,501 (USD; Tot_Mdcr_Pymt_Amt)2017 Medicare payment: $181,434 (USD; Tot_Mdcr_Pymt_Amt)2018 Medicare payment: $191,765 (USD; Tot_Mdcr_Pymt_Amt)2019 Medicare payment: $165,377 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $145,871 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $128,760 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $134,355 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $118,908 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $108,367 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
20152793,001$137,976
20163245,027$176,501
20173404,441$181,434
20183514,373$191,765
20193203,612$165,377
20202813,169$145,871
20212482,054$128,760
20222221,797$134,355
20232421,902$118,908
20242192,375$108,367

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$4.6K$9.2K2015 Drug cost: $9,243 (USD; Tot_Drug_Cst)2016 Drug cost: $9,175 (USD; Tot_Drug_Cst)2017 Drug cost: $7,622 (USD; Tot_Drug_Cst)2018 Drug cost: $4,182 (USD; Tot_Drug_Cst)2019 Drug cost: $5,742 (USD; Tot_Drug_Cst)2020 Drug cost: $2,251 (USD; Tot_Drug_Cst)2021 Drug cost: $2,084 (USD; Tot_Drug_Cst)2022 Drug cost: $4,115 (USD; Tot_Drug_Cst)2023 Drug cost: $4,782 (USD; Tot_Drug_Cst)2024 Drug cost: $5,336 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
2015105268$9,243
2016111312$9,175
201796249$7,622
2018104327$4,182
2019123298$5,742
2020109254$2,251
2021117238$2,084
2022118251$4,115
2023128238$4,782
2024135278$5,336

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$304$6082022 Medicare payment: $608 (USD; DME_Suplr_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClaimsPayment
2015N/RN/RN/R
2016N/RN/RN/R
2017N/RN/RN/R
2018N/RN/RN/R
2019N/RN/RN/R
2020N/RN/RN/R
2021N/RN/RN/R
20221111$608
2023N/RN/RN/R
2024N/RN/RN/R

* / # = 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
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more5058$99
99213Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more105135$64
20610Aspiration and/or injection of fluid from large joint93122$58
73562X-ray of knee, 3 views4762$31
J3301Injection, triamcinolone acetonide, not otherwise specified, 10 mg105662$1

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen110553$1,155
GabapentinGabapentin19780$561
Hydrocodone-AcetaminophenHydrocodone/Acetaminophen28135$210
AmoxicillinAmoxicillin3538$41

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.7$203Stryker 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 Matthew P. Simonich, MD?

Tedicare shows public-source Medicare data for Matthew P. Simonich, MD (NPI 1790755056), 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 Matthew P. Simonich, MD have ACO affiliation data?

Matthew P. Simonich, MD is shown with ACO affiliation data for Rocky Mountain Accountable Health Network, Inc (MSSP, ACO ID A2217).

What billing organization is linked to Matthew P. Simonich, MD?

Matthew P. Simonich, MD is linked to PUEBLO BONE AND JOINT CLINIC LLC (billing NPI 1568534642) in the available physician profile data.

Does Matthew P. Simonich, MD have Open Payments data?

Matthew P. Simonich, MD has 7 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.