Medicare Enrolled
Dr. Ryan Simonak, D.O.
Family Medicine · Fort Worth, TX
Practice pattern: Mixed Practice
— Diverse clinical practice across multiple procedure types
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. Simonak 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. Simonak
Dr. Ryan Simonak is a family medicine specialist in Fort Worth, TX, with 16 years of NPI registration. Based on federal Medicare data, Dr. Simonak performed 49,319 Medicare services across 2,063 unique beneficiaries.
Between the years covered by Open Payments, Dr. Simonak received a total of $9,779 from 66 pharmaceutical and/or device companies across 624 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in family medicine. 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. Simonak 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.
✓ 16 years in practice
▲ Top 0% volume in TX
$9,779 industry payments
Medicare Practice Summary
Medicare Utilization ↗49,319
Medicare services
Top 0% in TX for family medicine
2,063
Unique beneficiaries
$3
Avg. Medicare payment
Medicare patients only (65+ / disabled) · Not a quality rating · How to read this →
~3,082 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 |
|---|---|---|---|
| Testosterone injection An injection of testosterone cypionate, a form of testosterone hormone. The dose is measured in milligrams. |
44,959 | $0 | $0 |
| 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. |
1,005 | $84 | $175 |
| 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. |
729 | $10 | $38 |
| 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. |
494 | $59 | $125 |
| Dexamethasone injection (steroid) An injection of dexamethasone sodium phosphate, a corticosteroid medication, administered in a dose of 1 milligram. |
457 | $0 | $11 |
| Ceftriaxone antibiotic injection This code represents the administration of ceftriaxone sodium, an antibiotic medication. The charge is calculated for every 250 mg of the drug administered. |
379 | $0 | $20 |
| Methylprednisolone acetate injection, 80 mg An injection of 80 mg of methylprednisolone acetate, a corticosteroid medication. |
192 | $8 | $30 |
| Manual urinalysis with microscopic examination A urine test performed manually without automated equipment. The sample is examined under a microscope to check for abnormalities. |
170 | $4 | $15 |
| Ketorolac injection, per 15 mg An injection of ketorolac tromethamine, a nonsteroidal anti-inflammatory drug, administered in doses measured per 15 mg. |
116 | $0 | $15 |
| Hemoglobin A1c test (diabetes monitoring) A blood test that measures your average blood sugar levels over the past two to three months. |
100 | $10 | $58 |
| Flu vaccine administration This procedure involves the administration of the influenza virus vaccine. It covers the process of delivering the vaccine to the patient. |
98 | $30 | $35 |
| Office visit for established patient An office visit for an existing patient that may not require the healthcare professional to be present. |
69 | $17 | $40 |
| 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. |
68 | $72 | $88 |
| Influenza virus detection test A laboratory test that uses an immunoassay technique to detect the presence of the influenza virus through direct visual observation. |
66 | $16 | $45 |
| 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. |
51 | $10 | $70 |
| Pneumonia vaccine administration This procedure involves the injection of a vaccine to protect against pneumococcal disease. It is administered by a healthcare provider. |
40 | $30 | $40 |
| Pneumococcal conjugate vaccine (PCV20) An intramuscular injection of the 20-valent pneumococcal conjugate vaccine. It is used to protect against diseases caused by Streptococcus pneumoniae bacteria. |
35 | $282 | $350 |
| Quadrivalent influenza vaccine, preservative-free A flu shot containing four strains of the influenza virus, formulated without preservatives, administered in a 0.5 ml dose. |
33 | $21 | $40 |
| COVID-19 immunoassay detection test A laboratory test that uses an immunoassay method to detect the presence of severe acute respiratory syndrome coronavirus 2 (COVID-19) through direct visual observation. |
29 | $41 | $55 |
| Strep A rapid test A rapid test to detect Group A Streptococcus bacteria using an immunoassay method with direct visual observation. |
28 | $16 | $60 |
| Destruction of precancerous skin growth, 1 Removal of a single precancerous skin growth. This procedure destroys abnormal skin cells to prevent them from developing into cancer. |
27 | $43 | $125 |
| Joint injection, major joint Removal of fluid from a large joint and/or injection of medication into the joint space. |
27 | $37 | $109 |
| Vitamin B-12 injection An injection of vitamin B-12 (cyanocobalamin) with a dose of up to 1000 mcg. |
26 | $1 | $15 |
| Annual wellness visit, follow-up A follow-up annual wellness visit that includes a personalized prevention plan of service. |
23 | $123 | $155 |
| 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. |
20 | $57 | $175 |
| Orphenadrine injection, up to 60 mg An injection of orphenadrine citrate administered in a dose of up to 60 milligrams. |
18 | $5 | $25 |
| Ear wax removal by washing This procedure involves the removal of impacted ear wax using a washing technique. |
16 | $12 | $65 |
| Destruction of precancerous skin growths, 2-14 This procedure involves the removal or destruction of two to fourteen precancerous skin lesions. It is performed to eliminate abnormal skin cells that have the potential to develop into cancer. |
15 | $5 | $40 |
| Spirometry test before and after medication A test that measures the amount of air you can exhale and the speed of your breathing before and after taking a medication. |
15 | $26 | $95 |
| Office visit, established patient (10-19 min) An office visit for an existing patient lasting 10 to 19 minutes. The visit involves medical evaluation and management of the patient's condition. |
14 | $39 | $75 |
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 ↗$9,779
Total received (2018-2024)
Avg $1,397/year across 7 years
Top 5% in TX for family medicine
66
Companies
624
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
$9,779 (100.0%)
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$1,817
2023
$1,759
2022
$1,570
2021
$1,614
2020
$1,223
2019
$886
2018
$910
Payments by company (2024)
Consulting
Speaking
Meals & Travel
Research
Lilly USA, LLC
$898
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$753
AstraZeneca Pharmaceuticals LP
$723
Boehringer Ingelheim Pharmaceuticals, Inc.
$707
Abbott Laboratories
$530
AbbVie Inc.
$521
PFIZER INC.
$484
ABBVIE INC.
$430
Novo Nordisk Inc
$406
GlaxoSmithKline, LLC.
$389
Amgen Inc.
$290
Kowa Pharmaceuticals America, Inc.
$289
Amarin Pharma Inc.
$224
Endo Pharmaceuticals Inc.
$202
Bayer Healthcare Pharmaceuticals Inc.
$193
Merck Sharp & Dohme Corporation
$182
Allergan Inc.
$174
Allergan, Inc.
$164
Bayer HealthCare Pharmaceuticals Inc.
$147
Biohaven Pharmaceutical Holding Company Ltd.
$144
Corium, LLC
$139
Astellas Pharma US Inc
$125
Takeda Pharmaceuticals U.S.A., Inc.
$111
Biohaven Pharmaceuticals, Inc.
$89
Eisai Inc.
$79
SANOFI PASTEUR INC.
$79
Genentech USA, Inc.
$73
Janssen Pharmaceuticals, Inc
$70
Supernus Pharmaceuticals, Inc.
$65
Currax Pharmaceuticals LLC
$64
Exact Sciences Corporation
$63
IDORSIA PHARMACEUTICALS US INC
$62
DePuy Synthes Sales Inc.
$60
Gilead Sciences, Inc.
$59
IBSA Pharma Inc.
$58
SANOFI-AVENTIS U.S. LLC
$58
Ironshore Pharmaceuticals Inc.
$51
Teva Pharmaceuticals USA, Inc.
$48
Shire North American Group Inc
$43
Bioventus LLC
$37
Otsuka America Pharmaceutical, Inc.
$36
Avvisto Therapeutics, LLC
$32
Esperion Therapeutics, Inc.
$31
Acella Pharmaceuticals, LLC
$30
Horizon Therapeutics plc
$30
kaleo, Inc.
$29
Novartis Pharmaceuticals Corporation
$27
Nevro Corp.
$23
Optinose US, Inc.
$21
Nestle HealthCare Nutrition Inc.
$21
EISAI INC.
$20
SI-BONE, Inc.
$16
ARBOR PHARMACEUTICALS, INC.
$15
Phathom Pharmaceuticals, Inc.
$15
Adlon Therapeutics L.P.
$15
Silk Road Medical, Inc.
$15
Arbor Pharmaceuticals, Inc.
$15
Mannkind Corporation
$14
Seqirus USA Inc
$13
Aytu BioScience, Inc
$13
Althera Pharmaceuticals LLC
$12
Merck Sharp & Dohme LLC
$12
Galderma Laboratories, L.P.
$12
Paratek Pharmaceuticals, Inc.
$12
Medtronic MiniMed, Inc.
$11
Sanofi Pasteur Inc.
$11
Top 3 companies account for 24.3% of total payments
Associated products mentioned in payments ›
ADHANSIA XR · AFREZZA · AIMOVIG · AIRSUPRA · AJOVY · AREXVY · AUVI-Q · AVEED · AZSTARYS · Aimovig · Azstarys · BASAGLAR · BELSOMRA · BEYFORTUS · BREZTRI · BREZTRI AEROSPHERE · BYSTOLIC · CHANTIX · CONTRAVE · CYCLOSET · Cologuard Collection Kit · Dayvigo · Descovy · Durolane · EDEX · ELIQUIS · EMGALITY · ENROUTE Transcarotid Neuroprotection System · ENTRESTO · EPIDUO FORTE · EUCRISA · Edarbi · Edarbyclor · Enbrel · FARXIGA · FASENRA · FLUBLOK QUADRIVALENT NORTHERN HEMISPHERE · FLUZONE HIGH-DOSE · FLUZONE QUADRIVALENT NORTHERN HEMISPHERE · FREESTYLE LIBRE · FREESTYLE LIBRE 3 · Fluad Quadrivalent · FreeStyle Libre · FreeStyle Libre blood glucose Flash Monitoring System · INVOKANA · JANUVIA · JARDIANCE · JORNAY PM · Jornay PM 20mg capsules (Bottle of 100) · KRYSTEXXA · Kerendia · LINZESS · Livalo · MONOVISC · MOUNJARO · NASCOBAL · NEXLETOL · NP Thyroid · NURTEC ODT · NUZYRA · Natesto · Otezla · Ozempic · PAXLOVID · PENNSAID · PNEUMOVAX 23 · PREVNAR - 13 · PREVNAR 13 · PREVNAR 20 · QELBREE · QULIPTA · QUVIVIQ · REXULTI · RYBELSUS · Repatha · Roszet · Rybelsus · SEGLENTIS · SHINGRIX · SYMBICORT · SYNVISC-ONE · Saxenda · Senza · TOUJEO · TRELEGY ELLIPTA · TRINTELLIX · TRULANCE · TRULICITY · TRUMENBA · Tirosint · Tresiba · Truvada · UBRELVY · VESICARE · VIBERZI · VIIBRYD · VOQUEZNA · VRAYLAR · VYVANSE · Vascepa · Veozah · Wegovy · XARELTO · XIAFLEX · XIFAXAN · Xhance · Xofluza · ZENPEP · ZEPBOUND · iFuse Implant · iPro2
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 (100%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians. Total industry engagement is in the top 5% for family medicine in TX.
Equivalent to $20 per 100 Medicare services performed
Geographic Context
Family medicine physicians within 10 mi
1,144
Per 100K population
53.6
County median income
$81,905
Nearest hospital
MEDICAL CITY NORTH HILLS
4.1 mi
4.1 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. Simonak is a mixed practice specialist, with above-average Medicare volume (top 0% in TX), with low-engagement industry engagement in the top 5% of TX peers, with 16 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. Simonak experienced with testosterone injection?
Based on Medicare claims data, Dr. Simonak performed 44,959 testosterone injection 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. Simonak receive payments from pharmaceutical companies?
Yes. Dr. Simonak received a total of $9,779 from 66 companies across 624 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. Simonak's costs compare to other family medicine physicians in Fort Worth?
Dr. Simonak's average Medicare payment per service is $3. 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. Simonak) 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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