MARK HERNDON, MD
Surgery Physician · CLINTON, SC
Individual Active NPI 1285751107
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 179 | 861 | $242,187 | $79,301 | $60,346 |
| 2023 | 152 | 669 | $197,455 | $71,212 | $55,958 |
| 2022 | 139 | 858 | $178,834 | $63,886 | $48,002 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 11042 | Removal of skin and tissue, 20.0 sq cm or less | 90 | $47 | $36 |
| 11043 | Removal of muscle and/or tissue, 20.0 sq cm or less | 55 | $133 | $100 |
| 97597 | Removal of tissue from wound, 20.0 sq cm or less | 50 | $33 | $25 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 46 | $62 | $44 |
| 99221 | Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes | 40 | $77 | $60 |
| 99203 | New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more | 35 | $104 | $64 |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 21 | $122 | $91 |
| 99231 | Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes | 20 | $46 | $37 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 19 | $91 | $69 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 19 | $120 | $84 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 17 | $74 | $59 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 15 | $85 | $68 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Surgery Physician | 208600000X | ✓ | 32321 | SC |
| Surgery Physician | 208600000X | 58753 | GA |
Medicare eligibility
- Part B
- Yes
- DME
- Yes
- Home health
- Yes
- Power mobility
- Yes
- Hospice
- Yes
Other Surgery Physician providers in South Carolina
- NPI 1134680192
- NPI 1578564688
- NPI 1710970520
- NPI 1336439314
- NPI 1699774752
- NPI 1609844653
- NPI 1134322571
- NPI 1922004753
Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.