JOHN HERLIHY, M.D.
Gastroenterology Physician · CEDAR RAPIDS, IA
Individual Active NPI 1245625151
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 90 | 777 | $95,811 | $28,913 | $22,028 |
| 2023 | 110 | 612 | $114,244 | $33,804 | $25,435 |
| 2022 | 106 | 999 | $116,883 | $41,318 | $32,313 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 114 | $117 | $83 |
| 36415 | Insertion of needle into vein for collection of blood sample | 34 | $9 | $9 |
| 43239 | Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 20 | $92 | $71 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 19 | $81 | $65 |
| 45380 | Biopsy of large bowel using a flexible endoscope | 18 | $108 | $80 |
| 85025 | Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count | 17 | $8 | $8 |
| 80053 | Blood test, comprehensive group of blood chemicals | 15 | $10 | $10 |
| 82962 | Blood glucose (sugar) test performed by hand-held instrument | 12 | $3 | $3 |
| 76700 | Complete ultrasound scan of abdomen | 12 | $100 | $80 |
| 45385 | Removal of polyps or growths of large bowel using an endoscope with mechanical snare | 11 | $233 | $196 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | ✓ | MD-53981 | IA |
Medicare eligibility
- Part B
- Yes
- DME
- Yes
- Home health
- Yes
- Power mobility
- Yes
- Hospice
- Yes
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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.