MICHAEL HERBENICK, MD
Orthopaedic Surgery Physician · CENTERVILLE, OH
Individual Active NPI 1275565020
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 287 | 1,249 | $558,214 | $160,484 | $121,609 |
| 2023 | 217 | 875 | $463,019 | $145,712 | $113,646 |
| 2022 | 196 | 739 | $404,644 | $124,107 | $97,186 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 73030 | X-ray of shoulder, minimum of 2 views | 280 | $33 | $24 |
| J0702 | Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg | 258 | $7 | $5 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 145 | $85 | $61 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 124 | $120 | $85 |
| 20610 | Aspiration and/or injection of fluid from large joint | 113 | $57 | $42 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 60 | $155 | $106 |
| 99203 | New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more | 41 | $103 | $70 |
| 23472 | Prosthetic repair of shoulder joint, total shoulder | 30 | $1,321 | $1,032 |
| G0180 | Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and | 29 | $50 | $40 |
| 29827 | Repair of shoulder rotator cuff using an endoscope | 27 | $1,013 | $799 |
| 29823 | Removal of extensive shoulder joint tissue using an endoscope | 24 | $156 | $124 |
| 73562 | X-ray of knee, 3 views | 18 | $49 | $36 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | ✓ | 35082289 | OH |
Medicare eligibility
- Part B
- Yes
- DME
- Yes
- Home health
- Yes
- Power mobility
- Yes
- Hospice
- Yes
Other Orthopaedic Surgery Physician providers in Ohio
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- NPI 1205153681
- NPI 1932662525
Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.