DOUGLAS HERBEK, MD
Family Medicine Physician · GRAND ISLAND, NE
Individual Active NPI 1861492803
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 209 | 4,226 | $266,107 | $85,627 | $68,654 |
| 2023 | 243 | 3,994 | $241,579 | $89,459 | $71,738 |
| 2022 | 244 | 3,926 | $222,241 | $87,662 | $69,380 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 36415 | Insertion of needle into vein for collection of blood sample | 327 | $9 | $9 |
| 85027 | Complete blood cell count (red cells, white blood cell, platelets), automated test | 306 | $6 | $6 |
| 80053 | Blood test, comprehensive group of blood chemicals | 303 | $10 | $10 |
| 80061 | Blood test, lipids (cholesterol and triglycerides) | 243 | $13 | $13 |
| 83036 | Hemoglobin a1c level | 234 | $9 | $9 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 216 | $76 | $41 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 201 | $67 | $34 |
| 81003 | Automated urinalysis test | 199 | $2 | $2 |
| 84443 | Blood test, thyroid stimulating hormone (tsh) | 149 | $16 | $16 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 125 | $35 | $35 |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | 112 | $0 | $0 |
| 82570 | Creatinine level to test for kidney function or muscle injury | 110 | $5 | $5 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | ✓ | 21677 | NE |
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.