Loading...

    Explore
    • Policy Monitoring
    • Live Policy Feed
    • Billing Codes
    • NPI Medicare & Medicaid
    • Healthcare Providers
    • Health Insurance Payers
    • States
    • Service Lines
    • Taxonomy Codes
    Lookup tools
    • Billing Code Lookup
    • CPT Modifier Lookup
    • Provider Taxonomy Code Lookup
    • Healthcare Provider & Facility Lookup
    • Health Insurance Payer Lookup
    • Payer Contact Directory

    Policy & Benchmark Tools

    • Prior Authorization Lookup
    • Coverage Criteria Lookup
    • Timely Filing Lookup
    • Billing Code Reimbursement Rates
    • Payer Comparison Dashboard
    • Facility Comparison Dashboard
    • All tools

    Company

    • About OpenPayer
    • Data Sources
    • Trek Health
    OpenPayerby Trek Health
    LinkedInYouTube

    © 2026 Trek Health. All rights reserved.

    OpenPayer is built and maintained by Trek Health.

    v1.0.28
    OpenPayerNPI Medicare & MedicaidJuan Hernandez
    Ask Trek AI about this page

    Juan Hernandez — Billing Profile & Reimbursement Data

    NPI 1154640001 · Lufkin, TX · Internal Medicine Physician

    Customize your policy alerts

    Sign up for Juan Hernandez — Billing Profile & Reimbursement Data policy alerts

    Get alerted when relevant policies change without checking for updates manually.

    Monitor payer policy activity

    Receive email alerts as soon as relevant payer policies are published or updated.

    Juan Hernandez is a internal medicine physician provider located in Lufkin, Texas. This profile covers 13 Medicare and 0 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

    Table of contents

    Progress1 / 7

    Explore openpayer tools

    • Billing CodesCPT, HCPCS, DRG & more
    • Reimbursement RatesCommercial vs. Medicare rate reports
    • ProvidersHospitals & facilities
    • PayersPlans & market footprint
    • Taxonomy CodesNUCC specialty codes
    • ModifiersCPT modifiers & usage
    • Prior AuthorizationPA policies by payer & drug
    • Timely FilingFiling deadlines by payer
    • Coverage CriteriaMedical necessity by payer
    • Payer ContactsClaims, PA & appeals contacts
    View all tools

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationJuan Hernandez
    Address232 N John Redditt Dr Ste B
    CityLufkin
    StateTX
    ZIP75904
    TaxonomyInternal Medicine Physician
    NPI EnumeratedMay 18, 2010

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicare$79.9K
    Medicaid$0

    Medicare: Total Revenue Breakdown by CPT/HCPCS Code

    Medicare revenue breakdown by CPT/HCPCS procedure code.

    View: Bar Chart1 / 2

    Medicare: Complete Services Breakdown

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

    13 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99214The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…360$90$31.2K
    G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit160$120$19.2K
    99213The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…160$60$8.8K
    99495The provider manages the care of a patient during the transition to home care after discharge from a healthcare facility. The patient’s care requires at least moderate medical decision making,…40$150$6.2K
    90674This code represents a flu vaccine product that protects against four strains of influenza. It is derived from cell cultures, contains no preservatives or antibiotics, and is administered as a 0.5 mL…90$30$3.1K
    G0008Administration of influenza virus vaccine90$30$2.8K
    87426The lab analyst performs an immunoassay to qualitatively or semiquantitatively evaluate the patient blood specimen for antigens of severe acute respiratory syndrome coronavirus such as SARS–CoV–2,…60$40$2.2K
    36415In this procedure, the provider inserts a needle into a vein to collect a blood sample.200$10$1.6K
    93010The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram.250$10$1.5K
    87899The lab analyst performs the technical lab test to analyze for an infectious agent by immunoassay with direct optical, meaning visual, observation; use this code for those infectious organisms not…70$20$1.1K

    Showing 1–10 of 13

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 13 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    13 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    992145,79532,500110$80$17.6K
    G04391,1337,11060$120$10.6K
    992138,17229,79070$60$8.4K
    364151,9306,270100$10$4.5K
    994954775020$140$3.1K
    G00082,2397,86050$30$2.3K
    992122,0955,51030$40$2.2K
    874261791,87020$30$1.3K
    930107694,07090$10$1.3K
    906741541020$30$960

    Showing 1–10 of 13

    Nearby Providers

    Other providers in the same ZIP code as Juan Hernandez, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    A Pineywoods Home ServicesTXHome Health Agency$0$62.9M
    Vivek ManglaTXClinical Cardiac Electrophysiology Physician$1.6M$0
    Amirreza SolhpourTXInterventional Cardiology Physician$1M$0
    Matthew RowleyTXSpecialist$920.2K$0
    Brent CampbellTXUrology Physician$572.6K$0
    Jason CarterTXOrthopaedic Surgery Physician$489.8K$0
    Ravinder BachireddyTXInterventional Cardiology Physician$467.5K$0
    Bramham ReddyTXHematology & Oncology Physician$393.7K$0
    Munir AhmadTXHematology & Oncology Physician$342.9K$0
    Medmark Treatment Centers Of Texas, Inc.TXSubstance Use Disorder Rehabilitation Clinic/Center$83.5K$255.2K

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Texas Distribution
    Juan Hernandez — 1 of 13 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Texas