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    OpenPayerNPI Medicare & MedicaidJames Herrmann
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    James Herrmann — Billing Profile & Reimbursement Data

    NPI 1407822216 · Wheaton, IL · Dermatology Physician

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    James Herrmann is a dermatology physician provider located in Wheaton, Illinois. This profile covers 33 Medicare and 1 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)

    FieldValue
    Entity TypeIndividual
    OrganizationJames Herrmann
    Address199 Town Sq
    CityWheaton
    StateIL
    ZIP60187
    TaxonomyDermatology Physician
    NPI EnumeratedFebruary 23, 2006

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

    Payer SourceTotal Paid
    Medicare$169.2K
    Medicaid$1.8K

    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.

    33 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…540$60$33.3K
    J7308Aminolevulinic acid HCl for topical administration, 20%, single unit dosage form (354 mg)50$300$15.7K
    17000The provider destroys a premalignant lesion using techniques such as chemosurgery, cryosurgery, electrosurgery, or others. This code reports the destruction of the first or only lesion.330$40$12.7K
    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…130$90$12.1K
    88305The physician, typically a pathologist, performs a level IV examination of a surgical pathology specimen. The examination includes accessioning the specimen into the lab, which involves formally…410$30$11K
    12032This CPT® code is used for the intermediate repair of wounds to the scalp, axillae, trunk and/or extremities (excluding hands and feet) that are 2.6 to 7.5 cm in size.50$240$10.9K
    17110The provider destroys benign lesions using techniques such as chemosurgery, cryosurgery, electrosurgery, or others. This code reports the destruction of one to 14 lesions other than skin tags or…120$80$9.2K
    17003In this add–on procedure, the provider destroys a premalignant lesion using techniques such as chemosurgery, cryosurgery, electrosurgery, or others. This code is appropriate for the second through…1,360$10$6.8K
    17004The provider destroys 15 or more premalignant lesions using techniques such as chemosurgery, cryosurgery, electrosurgery, or others.50$140$6.5K
    11301The provider shaves off a single epidermal or dermal lesion of 0.6 to 1.0 cm in diameter from the skin of the trunk, arms, or legs.70$70$5.3K

    Showing 1–10 of 33

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 33 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    33 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    88305347580610$30$38.2K
    992148,37318,540110$80$17.1K
    J730874020$300$10.4K
    120326520030$210$10.3K
    1711027873090$70$9.6K
    1110258466090$60$9.1K
    17000194740170$40$9.1K
    11307324030$80$8.9K
    9921381117,39070$60$8.8K
    12052395030$150$7.5K

    Showing 1–10 of 33

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    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

    Medicaid: Complete Services Breakdown

    Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

    1 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…60$30$1.8K

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other Illinois providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. Illinois median

    1 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    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…10,67214,190280$20$38.9K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Michael PinsILSpecialist$67.2K$5.6M
    Michael BlairILRetina Specialist (Ophthalmology) Physician$3M$2.6M
    Daniel FrankILHematology & Oncology Physician$3.5M$0
    Cathryn GoldbergILHematology (Pathology) Physician$179.8K$3.1M
    Rajesh IyengarILFamily Medicine Physician$1.2M$1.6M
    Steve ElmosaILInternal Medicine Physician$169.6K$2.3M
    Shantan ReddyILOphthalmology Physician$1.2M$768.5K
    Manjot GillILOphthalmology Physician$1.4M$240.5K
    Anand ShahILTherapeutic Radiology Physician$1.3M$0
    Leo GordonILHematology & Oncology Physician$1.1M$2.9K

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    County Of Dupage Department Of HealthILMental Health Clinic/Center (Including Community Mental Health Center)$0$13.7M
    County Of Dupage Department Of HealthILMental Health Clinic/Center (Including Community Mental Health Center)$0$12.6M
    City Of WheatonILLand Ambulance$492.3K$4.7M
    Dupage Eye Surgery Center, LLCILAmbulatory Surgical Clinic/Center$4.5M$0
    Vikram SetlurILRetina Specialist (Ophthalmology) Physician$2.9M$219.8K
    Gregory FentonILOphthalmology Physician$2.7M$292.2K
    Susan Anderson-nelsonILRetina Specialist (Ophthalmology) Physician$1.5M$14.5K
    Mark DailyILOphthalmology Physician$1.2M$8.6K
    Jon GieserILRetina Specialist (Ophthalmology) Physician$771.4K$0
    Steven LafayetteILOphthalmology Physician$637K$7.3K

    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. Illinois Distribution
    James Herrmann — 1 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Illinois
    Medicaid Revenue by Year vs. Illinois Providers
    0 of 1 year billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Illinois Distribution
    James Herrmann — 0 of 1 code billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Illinois