MICHAEL HERSH, MD
Gastroenterology Physician · BUFFALO GROVE, IL
Individual Active NPI 1407076888
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 539 | 1,228 | $852,892 | $154,632 | $126,053 |
| 2023 | 569 | 1,299 | $930,702 | $162,751 | $128,418 |
| 2022 | 563 | 1,291 | $849,213 | $165,696 | $127,175 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 45380 | Biopsy of large bowel using a flexible endoscope | 261 | $132 | $111 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 139 | $135 | $102 |
| 45385 | Removal of polyps or growths of large bowel using an endoscope with mechanical snare | 116 | $271 | $229 |
| 43239 | Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 93 | $87 | $71 |
| 99215 | Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more | 90 | $190 | $147 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 65 | $177 | $137 |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 29 | $183 | $147 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 24 | $83 | $64 |
| G0105 | Colorectal cancer screening; colonoscopy on individual at high risk | 18 | $194 | $194 |
| 99205 | New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more | 17 | $234 | $188 |
| 43249 | Balloon dilation of esophagus, stomach, and/or upper small bowel using a flexible endoscope, less than 3.0 cm | 13 | $134 | $108 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | ✓ | 036-122187 | IL |
| Gastroenterology Physician | 207RG0100X | 2005039874 | MO |
Medicare eligibility
- Part B
- Yes
- DME
- Yes
- Home health
- Yes
- Power mobility
- Yes
- Hospice
- Yes
Other Gastroenterology Physician providers in Illinois
- NPI 1871625483
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- NPI 1164508453
- NPI 1467448324
- NPI 1063114395
- NPI 1962815043
- NPI 1073033353
Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.