Medicare Enrolled

Dr. Patrick Simon, MD

Orthopedic Surgery · Live Oak, TX
Practice pattern: Clinical Cardiology— Primarily office-based clinical cardiology
Speaking/Promotional
6704 RANDOLPH BLVD, Live Oak, TX 78233
2104775151
In practice since 2006 (19 years)
NPI: 1710078969 verify on NPPES ↗
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. Simon 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 →
Are you Dr. Simon? Request a correction or review of any data shown here. Provider portal →

What this data tells you about Dr. Simon

Dr. Patrick Simon is an orthopedic surgery in Live Oak, TX, with 19 years in practice. Based on federal Medicare data, Dr. Simon performed 2,229 Medicare services across 1,797 unique beneficiaries.

Between the years covered by Open Payments, Dr. Simon received a total of $3,689 from 13 pharmaceutical and/or device companies across 48 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in orthopedic surgery. The majority of payments are for speaking programs and promotional activities, reflecting participation in industry-sponsored events. Patients may wish to discuss these relationships with their provider.

The Data Coverage level for Dr. Simon 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.

✓ 19 years in practice▲ Top 27% volume in TX$ $3,689 industry payments

Medicare Practice Summary

Medicare Utilization ↗
2,229
Medicare services
Top 27% in TX for orthopedic surgery
1,797
Unique beneficiaries
$75
Avg. Medicare payment
Medicare patients only (65+ / disabled) · Not a quality rating · How to read this →
~117 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.

ProcedureVolumeAvg. paidAvg. submitted
Office visit, established patient (20-29 min)364$61$202
Betamethasone steroid injection326$5$20
New patient office visit (30-44 min)263$72$299
Joint injection, major joint254$51$191
X-ray of hand, minimum of 3 views147$25$78
X-ray of knee, 4 or more views122$33$99
Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose105$97$414
Shoulder X-ray, 2+ views104$24$78
Injection into tendon or ligament74$35$151
Office visit, established patient (30-39 min)50$88$298
Incision of tendon covering of finger45$169$870
X-ray of wrist, minimum of 3 views42$26$98
Aspiration and/or injection of fluid from small joint36$38$137
Total knee replacement33$941$3,941
Hip X-ray, 2-3 views33$32$113
Release and/or relocation of hand nerve28$298$1,201
X-ray of finger, minimum of 2 views26$26$90
Repair of chronic torn shoulder rotator cuff23$630$2,398
Knee X-ray, 3 views23$24$100
New patient office visit (45-59 min)23$84$456
Removal of extensive shoulder joint tissue using an endoscope21$249$1,740
X-ray of elbow, minimum of 3 views17$22$92
Initial hospital admission, moderate complexity17$100$380
Aspiration and/or injection of fluid from medium joint16$35$147
Anchoring of biceps tendon13$285$2,092
Incision or the tendon covering on the top side of the wrist12$158$946
Removal of knee cartilage using an endoscope12$218$1,599
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.
1.5% high complexity
36.4% medium
62.1% routine

Industry Payment Transparency

Open Payments through 2024 ↗
$3,689
Total received (2018-2024)
Avg $615/year across 6 years
Bottom 42% in TX for orthopedic surgery
13
Companies
48
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.

Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$2,041 (55.3%)
Meals & Travel
Food, beverages, travel, and lodging — typically low-value
$1,648 (44.7%)

Payment trend by year

Annual totals from pharmaceutical and medical device companies.

2024
$56
2023
$60
2021
$15
2020
$5
2019
$2,202
2018
$1,352

Payments by company (2024)

Consulting
Speaking
Meals & Travel
Research
Medinc of Texas
$2,041
Zimmer Biomet Holdings, Inc.
$1,056
Ferring Pharmaceuticals Inc.
$156
Bioventus LLC
$124
DePuy Synthes Sales Inc.
$92
Stryker Corporation
$60
Think Surgical, Inc.
$39
SANOFI-AVENTIS U.S. LLC
$38
Allergan Inc.
$29
Flexion Therapeutics, Inc.
$19
HERAEUS MEDICAL, LLC.
$17
Smith+Nephew, Inc.
$15
Orthofix Medical, Inc.
$5
Top 3 companies account for 88.2% of total payments
Associated products mentioned in payments ›
Durolane · EUFLEXXA · INSIGNIA · Juggerknot · MONOVISC · PALACOS · Physio-Stim Osteogenesis Stimulator · REGENETEN · SYNVISC-ONE · Supartz · TMINI Miniature Robotic System · VRAYLAR · Zilretta
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 →

The majority of payments (55%) are for speaking programs and promotional activities, which reflect participation in industry-sponsored educational or marketing events. This is common in orthopedic surgery and does not inherently indicate bias, but patients may wish to be aware.

Equivalent to $166 per 100 Medicare services performed
Looking for a orthopedic surgery in Live Oak?
Compare orthopedic surgerys in the Live Oak area by procedure volume, costs, and industry payment transparency.
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Geographic Context

Orthopedic Surgerys within 10 mi
183
Per 100K population
9.0
County median income
$70,571
Nearest hospital
LAUREL RIDGE TREATMENT CENTER
5.9 mi

Data Sources

Provider Registry NPPESWeekly updates
Medicare Enrollment PECOSMonthly updates
Practice Data Medicare Util.Annual (CY lag)
Industry Payments Open PaymentsCY 2024
Disciplinary History— Not publicN/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. Simon is a clinical cardiology specialist, with above-average Medicare volume (top 27% in TX), and speaking/promotional industry engagement, with 19 years of practice experience.

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. Simon experienced with office visit, established patient (20-29 min)?
Based on Medicare claims data, Dr. Simon performed 364 office visit, established patient (20-29 min) 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. Simon receive payments from pharmaceutical companies?
Yes. Dr. Simon received a total of $3,689 from 13 companies across 48 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. Simon's costs compare to other orthopedic surgerys in Live Oak?
Dr. Simon's average Medicare payment per service is $75. 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. Simon) 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 →
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.

Provider corrections: Provider portal · Privacy questions: Privacy Policy · Terms: Terms of Use · Methodology: Methodology

Data Disclaimer — Data sourced from the Centers for Medicare & Medicaid Services (CMS): National Plan and Provider Enumeration System (NPPES), Open Payments program, Medicare Provider Utilization and Payment Data, and Provider Enrollment & Certification data (PECOS). Published under the Freedom of Information Act (FOIA). This website is not affiliated with, endorsed by, or authorized by CMS, HHS, or the U.S. Government. Data may contain errors as reported to CMS by providers and reporting entities. Payments from industry are legal and do not indicate wrongdoing. Medicare data reflects only patients aged 65+ or those with qualifying disabilities. For corrections, contact CMS directly. This information does not constitute medical advice and should not be used as the sole basis for choosing a healthcare provider. Procedure descriptions use plain language and do not reference CPT® codes, which are copyrighted by the American Medical Association. Full methodology → · Report a data error → · Privacy policy →