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    OpenPayerNPI Medicare & MedicaidJorge Hernandez
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    Jorge Hernandez — Billing Profile & Reimbursement Data

    NPI 1356338347 · Beaumont, TX · Cardiovascular Disease Physician

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    Jorge Hernandez is a cardiovascular disease physician provider located in Beaumont, Texas. This profile covers 54 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.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationJorge Hernandez
    Address755 N 11th St
    CityBeaumont
    StateTX
    ZIP77702
    TaxonomyCardiovascular Disease Physician
    NPI EnumeratedOctober 4, 2005

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

    Payer SourceTotal Paid
    Medicare$685.1K
    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.

    54 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    78492In this diagnostic procedure, the provider performs a myocardial perfusion PET imaging study which means it reveals the flow of oxygenated blood to the heart muscles. The service also includes…210$800$171.6K
    A9555Rubidium rb-82, diagnostic, per study dose, up to 60 millicuries180$630$114.1K
    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…980$80$80.1K
    78431The provider performs a PET myocardial imaging scan, a type of nuclear imaging test, with CT transmission scan that reveals blood flow to and from the heart (perfusion). Ejection fraction and…30$1,820$45.4K
    93306The provider uses transducers to obtain two–dimensional (2D) images of the heart structures through the chest wall. He evaluates the anatomy and function of all four heart chambers, valves, adjacent…450$90$41K
    J2785Injection, regadenoson, 0.1 mg840$40$37K
    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…180$120$20.8K
    99222The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…200$100$20K
    92928The provider inserts a catheter through the skin (percutaneous approach) and guides it into the heart's arteries. They deploy one or more stents (small tubes) to keep the artery open and may expand a…30$410$12.4K
    93925The provider performs a duplex ultrasound scan of the lower extremity arteries or bypass grafts on both sides. Providers perform noninvasive arterial diagnostic procedures to examine the rate of…100$130$12.3K

    Showing 1–10 of 54

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 54 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    54 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    7843113216070$1,610$195.1K
    784921917060$940$89.8K
    A955560210110$500$76.8K
    933062901,900210$90$23.1K
    784527091,18050$220$17.9K
    9921482432,500110$80$17.6K
    994909741,520180$40$16.2K
    992327,08611,790100$60$15.8K
    J278571760220$40$15.7K
    G2066216230160$40$15.3K

    Showing 1–10 of 54

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Christus Health Southeast TexasTXGeneral Acute Care Hospital$0$21M
    Mark FasuloTXCardiovascular Disease Physician$763.4K$0
    Thomas LombardoTXCardiovascular Disease Physician$353.4K$0
    Joseph HarrisTXSpecialist$143.9K$0
    Timothy ColganTXInterventional Cardiology Physician$105K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Accutox, Inc.TXClinical Medical Laboratory$1.2M$298K
    Robert HoodTXEndocrinology, Diabetes & Metabolism Physician$1.2M$0
    Winnie Community Hospital, LLCTXAmbulatory Surgical Clinic/Center$835.6K$191.5K
    Beaumont Asc, LPTXAmbulatory Surgical Clinic/Center$1M$0
    Endoscopy Center Of Southeast Texas LPTXAmbulatory Surgical Clinic/Center$955K$0
    Apryl MensahTXRadiation Oncology Physician$916.7K$0
    Rodolfo SotolongoTXCardiovascular Disease Physician$802.2K$0
    Spinetech Surgery Center LLCTXAmbulatory Surgical Clinic/Center$730.3K$0
    Jose OrtizTXEndocrinology, Diabetes & Metabolism Physician$691.3K$0
    Jay SchachnerTXMedical Oncology Physician$658.4K$0

    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.

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    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Texas Distribution
    Jorge Hernandez — 3 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Texas