JUAN HERENA, M.D.
Pulmonary Disease Physician · SCHAUMBURG, IL
Individual Active NPI 1922167162
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 1,046 | 2,349 | $678,711 | $250,460 | $186,931 |
| 2023 | 965 | 2,649 | $948,490 | $314,135 | $239,840 |
| 2022 | 983 | 2,798 | $990,425 | $323,491 | $250,568 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 694 | $120 | $94 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 503 | $131 | $89 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 227 | $94 | $74 |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 187 | $177 | $136 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 151 | $81 | $65 |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's | 108 | $17 | $13 |
| 94060 | Test to measure expiratory airflow and volume changes before and after medication administration | 61 | $10 | $8 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 57 | $175 | $120 |
| 94726 | Test to determine lung volumes using sensors | 50 | $12 | $9 |
| 94729 | Test to examine how well the lungs exchange gases | 48 | $9 | $7 |
| 95811 | Sleep study in sleep lab with continuous airway pressure (6 years or older) | 29 | $123 | $93 |
| 99203 | New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more | 27 | $117 | $93 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | ✓ | 036081686 | IL |
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | 036081686 | IL |
Medicare eligibility
- Part B
- Yes
- DME
- Yes
- Home health
- Yes
- Power mobility
- Yes
- Hospice
- Yes
Other Pulmonary Disease Physician providers in Illinois
- NPI 1255567962
- NPI 1780247338
- NPI 1447094297
- NPI 1417488487
- NPI 1891725776
- NPI 1871514638
- NPI 1386901353
- NPI 1982131835
Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.