Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or Vermont for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Vermont only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. Vermont (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

John Hergert (NPI 1053548727)

Field	Value
Entity Type	Individual
Organization	John Hergert
Address	160 Allen Street
City	Rutland
State	VT
ZIP	05701
Taxonomy	Certified Registered Nurse Anesthetist
NPI Enumerated	June 19, 2009

Payer Source	Total Paid
Medicare	$4.4K
Medicaid	$0

Medicare: Complete Services Breakdown

The CPT/HCPCS codes generating the most Medicare revenue for this provider.

4 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
00811	The provider performs anesthesia services for a patient undergoing an unspecified lower intestinal endoscopic procedure where the surgical provider introduces an endoscope into the intestines up to…	40	$40	$1.5K
00813	The anesthesia provider performs anesthesia services for a patient undergoing both upper and lower intestinal endoscopy where the surgical provider introduces an endoscope into the intestines above…	20	$50	$1.2K
00731	The anesthesia provider performs anesthesia services for an unspecified type of upper gastrointestinal endoscopic procedure during which another provider introduces the endoscope to but not beyond…	20	$40	$1K
00812	The provider performs anesthesia services for a patient undergoing a screening colonoscopy during which the surgical provider introduces an endoscope into the intestines below the duodenum, the part…	20	$40	$680

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 4 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Vermont Distribution

John Hergert — 0 of 4 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Vermont

Full comparison — all codes billed, vs. state median

4 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
00812	17	30	20	$90	$2.4K
00811	10	40	20	$80	$2.2K
00813	6	10	20	$90	$2.1K
00731	13	60	20	$80	$1.7K

Related Providers

Other providers that share a Tax Identification Number (TIN) with John Hergert, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Eileen Simiele	NY	Anesthesiology Physician	$64.6K	$1.6K
George Elbayadi	NY	Anesthesiology Physician	$55.1K	$930
Matthew Dalton	NY	Anesthesiology Physician	$39.8K	$0
Sarah Ham	TN	Certified Registered Nurse Anesthetist	$30.2K	$0
Gary Wishik	NY	Anesthesiology Physician	$26K	$0
Teresa Hoffmann	NY	Certified Registered Nurse Anesthetist	$25.6K	$0
Chun-huai Chao	NH	Anesthesiology Physician	$22.2K	$0
Daniel Biles	VT	Anesthesiology Physician	$20.6K	$0
Dmitriy Shanturov	PA	Certified Registered Nurse Anesthetist	$17.1K	$0
Jacob Thomas	NY	Pain Medicine (Anesthesiology) Physician	$15.1K	$0

John Hergert — Billing Profile & Reimbursement Data

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John Hergert — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Frequently Asked Questions

References