ROBERT HERMAN
Gastroenterology Physician · GREAT NECK, NY
Individual Active NPI 1366440067
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 318 | 18,813 | $2,206,610 | $565,893 | $448,278 |
| 2023 | 318 | 13,597 | $1,943,215 | $483,732 | $378,621 |
| 2022 | 312 | 13,942 | $1,708,729 | $473,002 | $370,698 |
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 | 209 | $155 | $117 |
| 45380 | Biopsy of large bowel using a flexible endoscope | 143 | $407 | $323 |
| J7050 | Infusion, normal saline solution, 250 cc | 108 | $1 | $1 |
| 99212 | Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more | 90 | $69 | $55 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 84 | $110 | $86 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 77 | $201 | $158 |
| 43239 | Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 77 | $457 | $367 |
| 96413 | Administration of chemotherapy into vein, 1 hour or less | 73 | $163 | $130 |
| 45385 | Removal of polyps or growths of large bowel using an endoscope with mechanical snare | 44 | $549 | $439 |
| 76981 | Ultrasound scan of organ tissue for measuring elasticity | 37 | $129 | $96 |
| 99215 | Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more | 16 | $218 | $166 |
| 91110 | Imaging of digestive tract done from the inside of the digestive tract | 15 | $905 | $707 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | ✓ | 167548 | NY |
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.