ALEX HERRERA, MD
Hematology (Internal Medicine) Physician · DUARTE, CA
Individual Active NPI 1275761553
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 129 | 468 | $152,873 | $52,206 | $40,153 |
| 2023 | 130 | 369 | $146,624 | $48,327 | $36,731 |
| 2022 | 121 | 474 | $174,981 | $60,246 | $46,405 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 149 | $126 | $101 |
| 99215 | Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more | 110 | $153 | $115 |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's | 73 | $18 | $14 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 66 | $103 | $69 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 22 | $84 | $67 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Hematology (Internal Medicine) Physician | 207RH0000X | ✓ | A130569 | CA |
| Hematology & Oncology Physician | 207RH0003X | 130569 | CA |
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.