ANDREW HERMAN, M.D.
Gastroenterology Physician · BOZEMAN, MT
Individual Active NPI 1003260217
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 544 | 1,079 | $919,775 | $157,281 | $127,647 |
| 2023 | 364 | 675 | $737,921 | $99,559 | $82,490 |
| 2022 | 87 | 171 | $116,626 | $21,952 | $17,512 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 45385 | Removal of polyps or growths of large bowel using an endoscope with mechanical snare | 260 | $239 | $200 |
| 45380 | Biopsy of large bowel using a flexible endoscope | 186 | $88 | $71 |
| 43239 | Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 124 | $89 | $70 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 89 | $126 | $97 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 52 | $89 | $65 |
| 46600 | Diagnostic exam of anus using an endoscope | 37 | $116 | $92 |
| G0121 | Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk | 24 | $170 | $170 |
| 46221 | Removal of external hemorrhoids by rubber banding | 24 | $279 | $206 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 19 | $164 | $124 |
| 43235 | Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 19 | $103 | $82 |
| 45381 | Injection beneath lining of large bowel using a flexible endoscope | 18 | $14 | $11 |
| 74328 | Review by radiologist of image from tube placement into bile duct using an endoscope | 17 | $22 | $18 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | ✓ | 117383 | MT |
| Gastroenterology Physician | 207RG0100X | R4849 | TX |
Medicare eligibility
- Part B
- Yes
- DME
- Yes
- Home health
- Yes
- Power mobility
- Yes
- Hospice
- Yes
Other Gastroenterology Physician providers in Montana
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- NPI 1235691148
- NPI 1255372736
Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.