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 & MedicaidRhanni Herzfeld
    Ask Trek AI about this page

    Rhanni Herzfeld — Billing Profile & Reimbursement Data

    NPI 1245202589 · Washington, DC · Neurology Physician

    Customize your policy alerts

    Sign up for Rhanni Herzfeld — 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.

    Rhanni Herzfeld is a neurology physician provider located in Washington, District of Columbia. This profile covers 9 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 / 9

    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
    OrganizationRhanni Herzfeld
    Address2021 K St Nw Ste 210
    CityWashington
    StateDC
    ZIP20006
    TaxonomyNeurology Physician
    NPI EnumeratedFebruary 2, 2006

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

    Payer SourceTotal Paid
    Medicare$399.1K
    Medicaid$0

    Key Findings

    This provider is effectively a Medicare-only biller: total Medicare revenue is $399.1K and there is no Medicaid billing on file. The absence of any Medicaid claims on record makes the provider single‑payer in practical terms and concentrates commercial/Medicaid exposure outside the dataset.

    Revenue is highly concentrated in a small set of services: the precomputed top-3 Medicare codes account for 60.7% of total Medicare revenue, led by 99214 at $106.9K (26.8%), followed by 93886 at $69.6K (17.4%) and 93890 at $65.6K (16.5%). This concentration means a majority of income depends on a narrow mix of office E/M and vascular imaging codes.

    The code mix points to a neurology practice that pairs outpatient evaluation-and-management visits with in-office vascular diagnostic imaging: primary revenue drivers include 99214 (office established E/M) and multiple Doppler/duplex vascular ultrasound codes (93886, 93890, 93880, 93892). The prominence of these diagnostic vascular procedures alongside higher‑level E/M visits suggests the practice operates as a clinical neurology service with an on-site vascular testing capability or close access to vascular imaging workflows.

    Competitive standing on core E/M services is strong: 99214 ranks #10681 of 479517 (98th percentile; notably above typical national volume for this code), indicating the provider sees far more established-patient moderate-complexity visits than most peers nationwide. By contrast, higher-complexity new-patient E/M activity is also elevated—99204 ranks #1912 of 227068 (99th percentile; extreme outlier, far above typical national volume for this code)—which may reflect an unusually large new-patient intake or referral flow.

    Vascular imaging performance is mixed but overall notable: 93886 ranks #39 of 682 (94th percentile; typical, unremarkable volume for this code) and 93890 ranks #20 of 278 (93th percentile; typical, unremarkable volume for this code), while 93880 ranks #641 of 21316 (97th percentile; notably above typical national volume for this code). In plain terms, the provider is comparatively active among peers who perform these vascular studies, with some codes showing above‑average national standing and others appearing in the typical range for that procedure.

    The practice’s revenue profile includes several mid‑level and high‑level E/M codes (99214, 99204, 99215, 99205) alongside procedure revenue, which suggests both longitudinal outpatient management and episodic diagnostic work. This blend can support stable per‑patient revenue but also concentrates financial risk in the diagnostic testing line if referral or utilization patterns shift.

    Given the enrollment date of NPI 2006-02-02 (~20 years ago), the provider appears to be an established clinician with long tenure in Medicare billing. That longevity supports the interpretation that the observed billing patterns are persistent rather than transitory.

    From a payer-facing perspective, the lack of Medicaid billing represents both a limitation and an opportunity: current activity is concentrated in Medicare ($399.1K) with no Medicaid presence, so payers and networks assessing access for Medicaid populations should note the absence of in-state Medicaid claims. Any effort to evaluate competitive positioning or network adequacy should treat this provider as a Medicare-centric resource with limited Medicaid availability in the record.

    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.

    9 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…1,030$100$106.9K
    93886The provider performs an ultrasound of the arteries inside the head using Doppler technique to study the flow and speed of blood through the arteries. He performs the procedure to assess blood flow…340$200$69.6K
    93890N/A320$210$65.6K
    93880Duplex scanning of arteries for the evaluation of blood flow is a type of non–invasive vascular diagnostic process. A physician can visualize and selectively assess the flow patterns of peripheral…330$150$47.1K
    93892The provider performs an ultrasound of the arteries inside the head using Doppler technique to study the flow and speed of blood through the arteries. He does not injection a microbubble of saline or…320$150$47.1K
    99204The provider sees a new 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 provider…270$140$36.4K
    99215The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…90$150$13.6K
    99205The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the provider…60$190$11.1K
    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…20$80$1.4K

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 9 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    9 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    93886110340$200$69.7K
    93890110320$210$65.5K
    93892110320$150$46.9K
    99214111,40090$100$15.3K
    9921519866050$130$12.3K
    9388046040$130$11.1K
    992131,0121,20050$70$8.5K
    99204667030$130$6.4K
    992054633030$170$5.6K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Nabil AltememiMDSleep Medicine (Psychiatry & Neurology) Physician$566.3K$0
    Nadia YusufMDNeurology Physician$389.2K$0
    Ezra CohenMDNeurology Physician$377.4K$0
    Jay BronderMDPsychiatry Physician$355.5K$0
    Stephanie BlockMDNeurology Physician$312.1K$0
    Jueyang WeiFLNeurology Physician$306.9K$0
    Kalpana Hari HallDCSleep Medicine (Psychiatry & Neurology) Physician$306K$0
    David TaraginMDNeurology Physician$299.7K$0
    Chang Ching LinMDNeurology Physician$286K$0
    Eric JeffriesMDNeurology Physician$270.2K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Capitol View Home Healthcare AgencyDCRespite Care$0$26.2M
    Amazing Grace Supports IncDCIn Home Supportive Care Agency$0$20.2M
    Mba Non Profit Solutions, LLCDCDevelopmentally Disabled Services Day Training Agency$0$3.4M
    Premier Support Services IncDCCase Management Agency$0$2.9M
    Hamid SaranjamDCOrthodontics and Dentofacial Orthopedics Dentistry$0$1.8M
    District Endodontics PLLCDCEndodontics$0$1.8M
    Kerman Dental LLCDCGeneral Practice Dentistry$0$1.4M
    Lifetree Health, IncDCPrimary Care Clinic/Center$0$1.2M
    Kaveh ZandDCEndodontics$0$1M
    Limitless Possibilities, LLC.DCMental Health Counselor$0$741.8K

    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. District of Columbia Distribution
    Rhanni Herzfeld — 2 of 9 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — District of Columbia