Medicare Enrolled
Dr. Dane Simons, MD
Dermatology · Bay City, TX
Practice pattern: Clinical Cardiology
— Primarily office-based clinical cardiology
Low-engagement
Very High
DATA COVERAGE
Data in 4 of 4 federal sources
Measures public federal data availability — not provider quality
Informational, not a quality rating.
This page presents federal public records about Dr. Simons from CMS (NPPES, Open Payments, Medicare Provider Utilization, PECOS). It is not medical advice, an endorsement, or a judgment of clinical quality. Always consult the provider directly and a licensed clinician for medical decisions. Read methodology →
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What this data tells you about Dr. Simons
Dr. Dane Simons is a dermatology specialist in Bay City, TX, with 20 years of NPI registration. Based on federal Medicare data, Dr. Simons performed 4,016 Medicare services across 1,851 unique beneficiaries.
Between the years covered by Open Payments, Dr. Simons received a total of $3,328 from 32 pharmaceutical and/or device companies across 194 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in dermatology. Most payments are for meals and travel — low-value interactions common across virtually all practicing physicians. Patients may wish to discuss these relationships with their provider.
The Data Coverage level for Dr. Simons is Very High — reflecting how much public federal data is available about this provider. This is not a quality rating. Patients are encouraged to use this data as one of several factors when choosing a healthcare provider.
✓ 20 years in practice
▲ Top 6% volume in TX
$3,328 industry payments
Medicare Practice Summary
Medicare Utilization ↗4,016
Medicare services
Top 6% in TX for dermatology
1,851
Unique beneficiaries
$31
Avg. Medicare payment
Medicare patients only (65+ / disabled) · Not a quality rating · How to read this →
~201 Medicare services per year of practice
Top procedures by volume
Ranked by number of services performed for Medicare patients. Avg. submitted charge is what the provider billed; avg. Medicare payment is what CMS paid.
| Procedure | Volume | Avg. paid | Avg. submitted |
|---|---|---|---|
| Steroid injection (triamcinolone) A 10 mg injection of triamcinolone acetonide, a corticosteroid medication. This code specifies the drug and dosage administered. |
966 | $1 | $4 |
| Office visit, established patient (20-29 min) An office visit for an existing patient lasting between 20 and 29 minutes. The visit involves medical evaluation and management of the patient's condition. |
789 | $53 | $105 |
| Blood draw (venipuncture) Insertion of a needle into a vein to collect a blood sample. |
399 | $7 | $7 |
| Complete blood count (CBC) with differential An automated laboratory test that measures the levels of red blood cells, white blood cells, and platelets in the blood, including a breakdown of the different types of white blood cells. |
263 | $8 | $35 |
| Home visit, established patient, moderate complexity A home visit for an established patient involving moderate medical decision making. The visit requires at least 40 minutes of time if time is used to determine the level of service. |
243 | $90 | $300 |
| Drug injection, under skin or into muscle A procedure involving the administration of a medication or substance via injection into the subcutaneous tissue or muscle. |
193 | $8 | $25 |
| Manual urinalysis with microscopic examination A urine test performed manually without automated equipment. The sample is examined under a microscope to check for abnormalities. |
181 | $4 | $24 |
| Home visit, established patient, low complexity A physician visits an existing patient at their residence to provide care involving a low level of medical decision making. The visit lasts at least 30 minutes. |
174 | $52 | $300 |
| Routine 12-lead electrocardiogram (ECG) A test that records the electrical activity of the heart using at least 12 leads to produce a tracing. |
158 | $4 | $46 |
| Annual wellness visit, follow-up A follow-up annual wellness visit that includes a personalized prevention plan of service. |
85 | $124 | $136 |
| Hemoglobin A1c test (diabetes monitoring) A blood test that measures your average blood sugar levels over the past two to three months. |
70 | $10 | $40 |
| Home visit, established patient, high complexity A home visit for an established patient involving high-level medical decision making, lasting at least 60 minutes. |
48 | $135 | $300 |
| Flu vaccine, high-dose High-dose seasonal influenza vaccine for adults aged 65 and older. Contains four times the antigen of standard-dose flu vaccines (60 mcg per strain), split-virus formulation, preservative-free, single-dose syringe. |
47 | $72 | $75 |
| Chronic care management, first 20 min/month This service covers the first 20 minutes of clinical staff time directed by a healthcare professional each calendar month to manage chronic conditions. |
44 | $48 | $200 |
| Chronic care management, first 30 minutes This service covers the initial 30 minutes of care coordination for patients with two or more chronic conditions. It is provided personally by a healthcare professional each calendar month. |
44 | $68 | $200 |
| Complex chronic care management, first 60 minutes This service involves clinical staff time directed by a healthcare professional to manage two or more chronic conditions over a calendar month. It covers the first 60 minutes of this coordinated care effort. |
42 | $101 | $200 |
| Flu vaccine administration This procedure involves the administration of the influenza virus vaccine. It covers the process of delivering the vaccine to the patient. |
41 | $26 | $27 |
| Chest X-ray, 2 views An X-ray imaging test of the chest that captures two different angles to visualize the lungs, heart, and chest wall. |
39 | $21 | $130 |
| Multiplex PCR test for SARS-CoV-2 and influenza A and B A laboratory test that uses a multiplex amplified probe technique to detect the presence of SARS-CoV-2 (COVID-19) and influenza virus types A and B in a single sample. |
29 | $135 | $145 |
| Electrocardiogram (EKG), 12-lead A standard heart rhythm test using at least 12 leads to record electrical activity. A healthcare provider interprets the results and provides a written report. |
26 | $8 | $92 |
| Office visit, established patient (30-39 min) A follow-up office visit for an existing patient lasting between 30 and 39 minutes. The visit involves medical evaluation and management of the patient's condition. |
25 | $74 | $165 |
| Home visit, established patient, straightforward decision making A home visit for an established patient involving straightforward medical decision making. The visit lasts at least 15 minutes when time is used to determine the level of service. |
20 | $33 | $300 |
| Joint injection, major joint Removal of fluid from a large joint and/or injection of medication into the joint space. |
18 | $40 | $144 |
| Blood glucose test using hand-held instrument A test that measures the level of sugar in the blood using a portable device. The result helps monitor blood glucose levels. |
17 | $3 | $26 |
| Vaccine administration The process of giving a vaccine to a patient. This code covers the administration service only and does not include the cost of the vaccine itself. |
16 | $12 | $25 |
| Erythrocyte sedimentation rate (ESR) test A blood test that measures how quickly red blood cells settle in a test tube to detect inflammation in the body. This specific method is performed manually rather than using an automated machine. |
14 | $4 | $25 |
| New patient office visit (30-44 min) An initial office visit for a new patient lasting between 30 and 44 minutes. This code is used when the total time spent on the date of the encounter falls within this range. |
13 | $61 | $171 |
| Home visit, new patient, moderate complexity A home visit for a new patient involving moderate medical decision making, lasting at least 60 minutes. |
12 | $111 | $300 |
How to read this data: This reflects Medicare patients only (typically 65+). Payment amounts are what Medicare paid the provider, not your out-of-pocket cost. A higher procedure volume generally indicates more experience with that procedure.
Industry Payment Transparency
Open Payments through 2024 ↗$3,328
Total received (2018-2024)
Avg $475/year across 7 years
Top 8% in TX for dermatology
32
Companies
194
Individual payments
All payments are legal and publicly reported · Not evidence of wrongdoing · How to interpret →
Payment profile
Industry payments classified by relationship type. Not all payments are equal — research and consulting reflect different relationships than speaking programs or meals.
Meals & Travel
Food, beverages, travel, and lodging — typically low-value
$3,108 (93.4%)
Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$220 (6.6%)
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$479
2023
$738
2022
$548
2021
$411
2020
$286
2019
$392
2018
$475
Payments by company (2024)
Consulting
Speaking
Meals & Travel
Research
AstraZeneca Pharmaceuticals LP
$667
Novo Nordisk Inc
$385
ABBVIE INC.
$347
AbbVie Inc.
$221
Astellas Pharma US Inc
$220
Lilly USA, LLC
$214
PFIZER INC.
$189
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$167
Amgen Inc.
$108
Merck Sharp & Dohme Corporation
$83
GlaxoSmithKline, LLC.
$73
Tris Pharma Inc
$67
ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.)
$57
Corium, LLC
$55
Janssen Pharmaceuticals, Inc
$49
ARBOR PHARMACEUTICALS, INC.
$46
Kowa Pharmaceuticals America, Inc.
$46
Paratek Pharmaceuticals, Inc.
$42
IDORSIA PHARMACEUTICALS US INC
$37
Antares Pharma, Inc.
$33
Horizon Therapeutics plc
$30
Shire North American Group Inc
$26
Baxter Healthcare
$25
Novartis Pharmaceuticals Corporation
$22
Allergan Inc.
$21
Takeda Pharmaceuticals U.S.A., Inc.
$16
Merck Sharp & Dohme LLC
$16
SANOFI PASTEUR INC.
$15
Esperion Therapeutics, Inc.
$14
Eisai Inc.
$13
SANOFI-AVENTIS U.S. LLC
$12
E.R. Squibb & Sons, L.L.C.
$12
Top 3 companies account for 42.1% of total payments
Associated products mentioned in payments ›
Aimovig · Amitiza · Azstarys · BASAGLAR · BELSOMRA · BREZTRI · CAPLYTA · CHANTIX · DALVANCE · DUEXIS · Dayvigo · Dyanavel XR · ENTRESTO · Edarbi · Edarbyclor · FARXIGA · FLUZONE QUADRIVALENT NORTHERN HEMISPHERE · Hillrom - Life 2000 Ventilation System · JANUVIA · JARDIANCE · Livalo · MOUNJARO · MYDAYIS · MYRBETRIQ · Myrbetriq · NEXLETOL · NOCDURNA · NURTEC ODT · NUZYRA · Otezla · Otovel · Ozempic · PNEUMOVAX 23 · PREVNAR - 13 · PREVNAR 20 · QULIPTA · QUVIVIQ · RYBELSUS · Repatha · Rybelsus · SEGLENTIS · SHINGRIX · SIVEXTRO · STEGLATRO · TOUJEO · Tresiba · UBRELVY · VIAGRA · VRAYLAR · VYVANSE · Victoza · XARELTO · XIFAXAN
Should you be concerned? Payments from pharmaceutical and device companies are legal and common — 57% of U.S. physicians receive at least one. They often reflect legitimate consulting, research, or education. What matters is whether a recommended drug or device appears in your doctor's payment records. If so, consider asking your doctor about it. How to interpret this data →
Most payments (93%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians. Total industry engagement is in the top 8% for dermatology in TX.
Equivalent to $83 per 100 Medicare services performed
Geographic Context
Dermatologists within 10 mi
2
Per 100K population
5.5
County median income
$55,174
Nearest hospital
MATAGORDA REGIONAL MEDICAL CENTER
0.0 mi
0.0 mi
Data Sources
| Provider Registry | ✓ NPPES | Weekly updates |
| Medicare Enrollment | ✓ PECOS | Monthly updates |
| Practice Data | ✓ Medicare Util. | Annual (CY lag) |
| Industry Payments | ✓ Open Payments | CY 2024 |
| Disciplinary History | — Not public | N/A |
This provider has data in 4 of 4 available federal datasets, with a Data Coverage level of Very High. This measures how much public data is available about a provider — not how good they are. How we calculate this →
Summary
Dr. Simons is a clinical cardiology specialist, with above-average Medicare volume (top 6% in TX), with low-engagement industry engagement in the top 8% of TX peers, with 20 years of NPI registration.
This summary is auto-generated from federal data. It describes data availability and patterns — not clinical quality. Read our methodology →
Frequently Asked Questions
Is Dr. Simons experienced with steroid injection (triamcinolone)?
Based on Medicare claims data, Dr. Simons performed 966 steroid injection (triamcinolone) services. Research suggests that higher procedure volume is often associated with better outcomes, particularly for complex procedures. Note that Medicare data only captures patients aged 65 and older, so the total practice volume across all patients is likely higher.
Does Dr. Simons receive payments from pharmaceutical companies?
Yes. Dr. Simons received a total of $3,328 from 32 companies across 194 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common among physicians — 57% of all U.S. physicians receive at least one industry payment. Patients may wish to ask their doctor about these relationships, especially if a recommended drug or device appears in the payment records.
How do Dr. Simons's costs compare to other dermatologists in Bay City?
Dr. Simons's average Medicare payment per service is $31. Note that these figures represent what Medicare pays, not your out-of-pocket cost, which depends on your specific insurance plan and deductible. Procedure-level data above shows both what was submitted and what Medicare paid for each service type.
What does Data Coverage mean?
Data Coverage (currently Very High for Dr. Simons) measures how much public federal data is available about a provider. It is not a quality rating. A "Very High" or "High" level means the provider has data across multiple federal sources (NPPES, PECOS, Medicare Utilization, Open Payments), indicating a long track record of practice, Medicare participation, and industry disclosure. A "Low" or "Moderate" level may simply mean the provider is newer, does not see Medicare patients, or has not received any industry payments — none of which are inherently negative. Read our full methodology →
Is this data up to date?
Each data source has its own update cycle. Provider registry data (NPPES) is updated weekly. Medicare enrollment (PECOS) is updated monthly. Medicare practice data has a ~2 year lag — the most recent available is typically 2 years prior. Industry payment data (Open Payments) is published annually, usually in June, covering the prior calendar year. We display the data date prominently on each section so you always know how current it is. See our data freshness policy →
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About this page
All data on this page is sourced verbatim from public federal records published by the U.S. Centers for Medicare & Medicaid Services (CMS): NPPES ↗, Open Payments ↗, Medicare Provider Utilization ↗, and PECOS. Publication is mandated by the Physician Payments Sunshine Act (§6002 ACA, 42 U.S.C. §1320a-7h) and the Freedom of Information Act.
This page is not medical advice, an endorsement, a recommendation, or a quality rating. The Transparency Score measures data completeness — how much federal information exists for this provider — not clinical performance, patient outcomes, or quality of care. Always verify information directly with the provider and consult a licensed clinician before making medical decisions.
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