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 Pennsylvania for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Pennsylvania 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. Pennsylvania (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.

Robin Herb (NPI 1255639498)

Field	Value
Entity Type	Individual
Organization	Robin Herb
Address	2608 Keiser Blvd
City	Wyomissing
State	PA
ZIP	19610
Taxonomy	Family Nurse Practitioner
NPI Enumerated	March 12, 2011

Payer Source	Total Paid
Medicare	$11.2K
Medicaid	$0

Medicare: Complete Services Breakdown

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

6 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…	80	$80	$6.6K
99442	N/A	40	$50	$1.8K
99443	N/A	10	$80	$1.1K
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	$50	$1.1K
99441	N/A	10	$30	$430
99421	Using online communication technologies, a physician or other qualified healthcare professional discusses a health issue and possible treatment or management with an established patient. This code…	20	$10	$220

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 6 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Pennsylvania Distribution

Robin Herb — 0 of 6 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Pennsylvania

Full comparison — all codes billed, vs. state median

6 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	12,974	23,230	100	$80	$14.5K
99213	18,298	22,370	70	$60	$7.7K
99443	304	380	20	$80	$3K
99442	227	800	20	$50	$2.3K
99441	342	460	20	$30	$1.2K
99421	7	20	20	$10	$180

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Bayada Home Health Care, Inc.	PA	Home Health Agency	$0	$18.5M
Holcomb Associates, Inc.	PA	Community/Behavioral Health Agency	$0	$11.1M
Paragon Behavioral Health Services, LLC	PA	Community/Behavioral Health Agency	$0	$10.8M
Patient First Pennsylvania Medical Group PLLC	PA	Family Medicine Physician	$0	$5.6M
Barry Malloy	PA	Retina Specialist (Ophthalmology) Physician	$3.3M	$1.8K
Anastasia Traband	PA	Retina Specialist (Ophthalmology) Physician	$3.1M	$14K
The Reading Hospital Surgicenter At Spring Ridge LLC	PA	Ambulatory Surgical Clinic/Center	$330.9K	$2.3M
Saurin Mehta	PA	Specialist	$2.6M	$0
Pennsylvania Eye & Ear Surgery	PA	Ambulatory Surgical Clinic/Center	$2.1M	$252.9K
Jeremy Aikey	PA	Ophthalmology Physician	$2.3M	$0

Robin Herb — Billing Profile & Reimbursement Data

Sign up for Robin Herb — Billing Profile & Reimbursement Data policy alerts

Robin Herb — Billing Profile & Reimbursement Data

Sign up for Robin Herb — Billing Profile & Reimbursement Data policy alerts

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References