ANDREW HERSH, MD
Pulmonary Disease Physician · MONTROSE, CO
Individual Active NPI 1285924480
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 312 | 1,136 | $411,704 | $86,843 | $66,057 |
| 2023 | 265 | 697 | $264,330 | $50,451 | $36,955 |
| 2022 | 324 | 1,002 | $487,005 | $93,346 | $72,685 |
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 | 159 | $131 | $94 |
| 94375 | Test to measure rate of airflow | 140 | $14 | $11 |
| 94726 | Test to determine lung volumes using sensors | 136 | $12 | $9 |
| 94729 | Test to examine how well the lungs exchange gases | 131 | $9 | $7 |
| 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 | 80 | $17 | $13 |
| 99291 | Critical care, first 30-74 minutes | 58 | $211 | $169 |
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 44 | $118 | $91 |
| 99215 | Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more | 37 | $184 | $139 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 32 | $170 | $126 |
| 31624 | Irrigation and suction of lung airways to obtain cells using an endoscope | 30 | $38 | $30 |
| 99205 | New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more | 29 | $224 | $173 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 27 | $78 | $63 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | ✓ | DR.0065153 | CO |
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | 9089462-1205 | UT | |
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | DR.0065153 | CO |
Medicare eligibility
- Part B
- Yes
- DME
- Yes
- Home health
- Yes
- Power mobility
- Yes
- Hospice
- Yes
Other Pulmonary Disease Physician providers in Colorado
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- NPI 1235112129
- NPI 1285803635
- NPI 1952261042
- NPI 1790098655
Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.