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    OpenPayerNPI Medicare & MedicaidAndrew Herbst
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    Andrew Herbst — Billing Profile & Reimbursement Data

    NPI 1437198702 · Norwalk, CT · MOHS-Micrographic Surgery Physician

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    Andrew Herbst is a mohs-micrographic surgery physician provider located in Norwalk, Connecticut. This profile covers 20 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
    OrganizationAndrew Herbst
    Address13 Park St
    CityNorwalk
    StateCT
    ZIP06851
    TaxonomyMOHS-Micrographic Surgery Physician
    NPI EnumeratedJune 5, 2006

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

    Payer SourceTotal Paid
    Medicare$333.9K
    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.

    20 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    17311Mohs surgery is a multi–staged procedure that is performed to excise a malignant lesion layer by layer, along with histo–pathological assessment. The assessment is performed to ensure that the…270$540$142.8K
    17313Mohs surgery is a multi–staged method of excising a malignant lesion layer by layer, along with histo–pathological assessment, to ensure negative malignancy of the margins.80$500$42.2K
    17312Mohs surgery is a multi–staged method of excising a malignant lesion layer by layer, along with histo–pathological assessment, to ensure negative malignancy of the margins.90$360$30.5K
    Q4186Epifix, per square centimeter (add-on, list separately in addition to primary procedure)180$120$20.8K
    13132The provider repairs a wound measuring 2.6 cm to 7.5 cm in size of the cheeks, chin, mouth, neck, axillae, genitalia, hands, and/or feet, which may require scar revision, debridement extensive…100$210$20.5K
    13121This is for a complex repair of a wound to the scalp, arms, and/or legs.  This wound should be 2.6 to 7.5 cm in size.80$250$20.4K
    99212The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…200$40$9K
    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.40$190$8.4K
    17314Mohs surgery is a multi–staged method of excising a malignant lesion layer by layer, along with histo–pathological assessment, to ensure negative malignancy of the margins.20$340$5.8K
    13152The physician performs closure of a wound/laceration for at least one of the following anatomic areas: eyelids, nose, ears, lips. The repair performed is of a complex nature, which involves more than…30$210$5.5K

    Showing 1–10 of 20

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 20 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    20 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    173111830300$490$149.1K
    173122230150$350$59.2K
    17313113070$500$37.8K
    Q4186110180$120$20.8K
    13132103050$210$15.5K
    1312172060$210$13.7K
    11102229270100$70$9.7K
    12032177030$210$9.2K
    17314122020$340$8.9K
    12052162050$150$8.8K

    Showing 1–10 of 20

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Wayne LarrisonCTOphthalmology Physician$1.9M$0
    Nancy Miller-riveroNYRetina Specialist (Ophthalmology) Physician$1.4M$0
    James WeiszCTOphthalmology Physician$1.3M$0
    Matthew DombrowCTOphthalmology Physician$1M$0
    Meredith GershonCTOphthalmology Physician$834.7K$0
    Richard KaplanCTOphthalmology Physician$800.1K$0
    Elena MaydanNYDermatology Physician$655.9K$0
    Aaron SteenCTDermatology Physician$364.3K$0
    Jason MayoCTDiagnostic Radiology Physician$267.4K$0
    Christopher LynchCTAdult Reconstructive Orthopaedic Surgery Physician$264K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    The Center For Advanced Pediatrics, P.CCTPediatrics Physician$0$7M
    Mid-fairfield Child Guidance CenterCTCommunity/Behavioral Health Agency$0$5.5M
    Simon Bangiyev Dds, Md, PC Dba Premier Oral SurgeryCTOral and Maxillofacial Surgery (Dentist)$0$5.3M
    Keystone House Inc.CTMental Illness Community Based Residential Treatment Facility$0$3.4M
    Allergy Center Of Connecticut, PCCTAllergy & Immunology Physician$0$2.6M
    Richard A. Fichman, Md PCCTOphthalmology Physician$0$2.5M
    Myeyedr Optometry Of Connecticut, LLCCTOptometrist$0$2.3M
    East Avenue Pediatrics PCCTPediatrics Physician$0$1.8M
    Robert L. Weiss, Md, PCCTSpecialist$0$1.8M
    Erol VerterCTOphthalmology Physician$1.7M$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.

    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. Connecticut Distribution
    Andrew Herbst — 1 of 20 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Connecticut