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

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

J.michael Herr (NPI 1316995442)

Field	Value
Entity Type	Individual
Organization	J.michael Herr
Address	45 S Main St Ste 212
City	West Hartford
State	CT
ZIP	06107
Taxonomy	Neuromusculoskeletal Medicine & OMM Physician
NPI Enumerated	May 4, 2006

Payer Source	Total Paid
Medicare	$24K
Medicaid	$0

Medicare: Complete Services Breakdown

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

2 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…	180	$70	$12.2K
98929	The provider performs controlled manual pressure in nine to ten body regions to treat somatic and nonsomatic disorders.	180	$70	$11.9K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 2 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Connecticut Distribution

J.michael Herr — 0 of 2 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Connecticut

Full comparison — all codes billed, vs. state median

2 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
98929	1	10	180	$60	$11.9K
99213	1,332	6,440	70	$60	$8.1K

Nearby Providers

Other providers in the same ZIP code as J.michael Herr, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Advanced Home Medical Supplies Inc.	CT	Durable Medical Equipment & Medical Supplies	$0	$2.7M
Senior Services LLC	CT	Adult Companion	$0	$2.5M
Town Of West Hartford	CT	Case Manager/Care Coordinator	$0	$1.8M
People's Dental	CT	Orthodontics and Dentofacial Orthopedics Dentistry	$0	$1.4M
The Bridge Family Center, Inc	CT	Adolescent and Children Mental Health Clinic/Center	$0	$1.3M
Solinsky Hearing Center, Inc	CT	Audiologist	$0	$1.1M
David Jeng	CT	Ophthalmology Physician	$896.5K	$0
Jeremy Hwang	CT	Ophthalmology Physician	$199.4K	$0
Lisa Kugelman	CT	Procedural Dermatology Physician	$184K	$0
Connecticut Cvs Pharmacy, L.L.C.	CT	Pharmacy	$162.9K	$0

J.michael Herr — Billing Profile & Reimbursement Data

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J.michael Herr — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References