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NPI 1205845500 · Akron, OH · Family Medicine Physician
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Vernon Hershberger is a family medicine physician provider located in Akron, Ohio. This profile covers 12 Medicare and 3 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.
Provider details (source: NPPES NPI Registry)
| Field | Value |
|---|---|
| Entity Type | Individual |
| Organization | Vernon Hershberger |
| Address | 880 Mull Ave Ste 100 |
| City | Akron |
| State | OH |
| ZIP | 44313 |
| Taxonomy | Family Medicine Physician |
| NPI Enumerated | August 5, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $26.9K |
| Medicaid | $2K |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
12 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 99213 | The 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… | 220 | $50 | $11.9K |
| 99214 | The 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… | 140 | $70 | $10.1K |
| 76770 | A retroperitoneal ultrasound is a noninvasive procedure used to assess the body parts within the abdomen (i.e.Kidneys, urinary bladder, and aorta). This particular code is used when the ultrasound is… | 20 | $50 | $970 |
| 83036 | Sugar in the bloodstream can get attached to the hemoglobin in red blood cells. Once the sugar is attached, it stays there for the lifetime of the red blood cell (around 120 days or over 3 months).… | 80 | $10 | $790 |
| 81007 | The analyst uses a nonculture, nondipstick method to determine whether bacteriuria is present or absent. The specimen typically would be from a random urine collection. | 20 | $30 | $640 |
| 77085 | The provider measures the mineral density of the bones of the axial skeleton and assesses a vertebral fracture. He performs the procedure to assess the patient for the presence of osteoporosis or… | 10 | $50 | $580 |
| 99211 | An established patient presents for an office or other outpatient visit that may not require the presence of a physician or other qualified healthcare professional. | 40 | $10 | $560 |
| 36415 | In this procedure, the provider inserts a needle into a vein to collect a blood sample. | 170 | $1 | $520 |
| 93000 | The provider records the electrical conduction of the heart to examine any abnormality in its functioning, based on signals from at least 12 leads, wires that connect the recording device to… | 50 | $10 | $290 |
| 71046 | In this diagnostic procedure, the provider performs a minimum of two radiological views of the chest. He performs this study for the assessment of conditions affecting the chest, its contents, and… | 10 | $20 | $220 |
Showing 1–10 of 12
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 12 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
12 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| 99214 | 7,789 | 20,010 | 100 | $70 | $11.7K |
| 99213 | 3,083 | 20,000 | 70 | $50 | $6.6K |
| 36415 | 594 | 1,910 | 90 | $10 | $5.4K |
| 83036 | 587 | 2,110 | 40 | $10 | $2.4K |
| 82570 | 262 | 400 | 40 | $10 | $2.1K |
| 71046 | 1,166 | 1,280 | 60 | $10 | $1.7K |
| 76770 | 395 | 530 | 30 | $30 | $1.6K |
| 81007 | 7 | 10 | 30 | $30 | $1.3K |
| 99211 | 193 | 460 | 30 | $20 | $940 |
| 93000 | 915 | 2,420 | 30 | $10 | $930 |
Showing 1–10 of 12
Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.
View: By Year1 / 3
Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
3 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 99214 | The 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… | 30 | $30 | $1K |
| 99309 | The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or the provider… | 60 | $10 | $770 |
| 99213 | The 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… | 20 | $10 | $170 |
How this provider's Medicaid billing volume and revenue compare to other Ohio providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Ohio median
3 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 99214 | The 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… | 3,910 | 4,510 | 500 | $60 | $377.8K |
| 99213 | The 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… | 4,632 | 5,080 | 560 | $40 | $323.9K |
| 99309 | The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or the provider… | 513 | 630 | 630 | $20 | $62.5K |
Other providers in the same ZIP code as Vernon Hershberger, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Op Hospice-ohio LLC | OH | Community Based Hospice Care Agency | $0 | $19.2M |
| Sky Point Ltd | OH | Addiction (Substance Use Disorder) Counselor | $0 | $8.3M |
| West Akron Enterprises Inc | OH | Community/Retail Pharmacy | $491.5K | $0 |
| Denise Paulat | OH | Family Nurse Practitioner | $332K | $0 |
| Robert Wissner | OH | Pain Medicine (Physical Medicine & Rehabilitation) Physician | $64.8K | $0 |
| Kermit Fox | OH | Pain Medicine (Physical Medicine & Rehabilitation) Physician | $59.6K | $0 |
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