ALICE HERLIHY, MD
Pulmonary Disease Physician · NORTH CHESTERFIELD, VA
Individual Active NPI 1902013196
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 923 | 40,609 | $4,665,269 | $1,566,313 | $1,235,197 |
| 2023 | 830 | 27,749 | $3,376,139 | $1,183,175 | $929,025 |
| 2022 | 739 | 24,214 | $2,781,154 | $1,094,735 | $860,865 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| J2357 | Injection, omalizumab, 5 mg | 15,736 | $38 | $30 |
| J2182 | Injection, mepolizumab, 1 mg | 10,101 | $30 | $24 |
| J2356 | Injection, tezepelumab-ekko, 1 mg | 8,400 | $18 | $14 |
| J0517 | Injection, benralizumab, 1 mg | 1,230 | $162 | $129 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 941 | $124 | $92 |
| 96372 | Injection of drug or substance under skin or into muscle | 672 | $14 | $11 |
| 99454 | Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days | 482 | $46 | $36 |
| 99490 | Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month | 434 | $61 | $45 |
| 99457 | Management using the results of remote vital sign monitoring per calendar month, first 20 minutes | 424 | $47 | $37 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 206 | $89 | $64 |
| 99439 | Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month | 197 | $47 | $37 |
| 99458 | Management using the results of remote vital sign monitoring per calendar month, each additional 20 minutes | 173 | $38 | $30 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | ✓ | 0101243949 | VA |
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | 0101243949 | VA | |
| Internal Medicine Physician | 207R00000X | 0101243949 | VA |
Medicare eligibility
- Part B
- Yes
- DME
- Yes
- Home health
- Yes
- Power mobility
- Yes
- Hospice
- Yes
Other Pulmonary Disease Physician providers in Virginia
- NPI 1972823177
- NPI 1548271406
- NPI 1962638973
- NPI 1578722617
- NPI 1063673606
- NPI 1457792814
- NPI 1962610972
- NPI 1558859991
Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.