CARMELO HERRERO, M.D.
Gastroenterology Physician · HENDERSON, NV
Individual Active NPI 1619078607
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 334 | 640 | $199,190 | $85,896 | $65,739 |
| 2023 | 345 | 664 | $241,099 | $91,326 | $69,998 |
| 2022 | 353 | 773 | $226,802 | $110,800 | $84,049 |
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 | 107 | $122 | $86 |
| 45385 | Removal of polyps or growths of large bowel using an endoscope with mechanical snare | 81 | $239 | $195 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 76 | $89 | $65 |
| 43239 | Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 66 | $103 | $77 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 44 | $157 | $117 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 38 | $76 | $60 |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 34 | $126 | $87 |
| 99203 | New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more | 32 | $109 | $69 |
| 99215 | Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more | 20 | $176 | $136 |
| 45380 | Biopsy of large bowel using a flexible endoscope | 18 | $162 | $122 |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 15 | $167 | $129 |
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 11 | $114 | $91 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | ✓ | 8613 | NV |
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.