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

Why is the Medicaid comparison limited to South Carolina 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. South Carolina (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.

Laura Herpel (NPI 1558411751)

Field	Value
Entity Type	Individual
Organization	Laura Herpel
Address	1333 Taylor St Ste 6b
City	Columbia
State	SC
ZIP	29201
Taxonomy	Pulmonary Disease Physician
NPI Enumerated	January 11, 2007

Payer Source	Total Paid
Medicare	$195.4K
Medicaid	$0

Medicare: Complete Services Breakdown

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

7 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…	1,190	$90	$103.6K
95811	During the study, the physician monitors the sleep pattern of the patient, along with different bodily functions during the sleep cycle extending over a period of six hours or more.	90	$440	$37.2K
95810	Polysomnography refers to the continuous and simultaneous monitoring and recording of various physiological and pathophysiological parameters of sleep for six or more hours with physician review,…	70	$430	$27.6K
99204	The 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…	100	$110	$11.8K
99215	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…	80	$130	$9.9K
95800	A patient undergoes a sleep study with no provider physically present. Parameters recorded include heart rate, blood oxygen concentration, respiratory analysis, and the amount of time sleeping.	40	$110	$3.9K
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…	40	$50	$1.8K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 7 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. South Carolina Distribution

Laura Herpel — 1 of 7 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — South Carolina

Full comparison — all codes billed, vs. state median

7 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	242	7,860	160	$80	$23.2K
95811	15	60	50	$230	$16.3K
95810	16	70	40	$220	$14K
99213	5,776	7,690	100	$60	$10.8K
99215	658	2,360	40	$120	$9.3K
99204	739	4,520	40	$110	$6.4K
95800	7	20	40	$90	$4.7K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Prisma Health University Medical Group	SC	Family Medicine Physician	$0	$171.7M
Prisma Health Medical Group-midlands	SC	Multi-Specialty Clinic/Center	$0	$77.6M
Centra Medical Group, LLC	VA	Family Medicine Physician	$0	$60.1M
Prisma Health Medical Group-midlands	SC	Orthopaedic Surgery Physician	$0	$8.7M
Prisma Health Medical Group-midlands	SC	Developmental - Behavioral Pediatrics Physician	$0	$5.9M
Prisma Health Medical Group-midlands	SC	Family Medicine Physician	$0	$3.6M
Prisma Health Medical Group-midlands	SC	Interventional Cardiology Physician	$0	$2.5M
Andrew Mcgown	SC	Sports Medicine (Family Medicine) Physician	$758K	$0
Charles Agunobi	GA	Internal Medicine Physician	$741.1K	$0
Walter Mazzei	SC	Clinical Cardiac Electrophysiology Physician	$480.8K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Doctors Care, PA	SC	Family Medicine Physician	$0	$50.7M
Robertson Optical Laboratories Inc	SC	Eyewear Supplier	$0	$13.5M
Dhec Hemophilia-cshcn Program	SC	Pharmacy	$0	$13.3M
Addus Healthcare (south Carolina), Inc.	SC	In Home Supportive Care Agency	$0	$12.1M
Pruitthealth Hospice, Inc.	SC	Inpatient Hospice	$0	$11.8M
Prisma Health-midlands	SC	General Acute Care Hospital	$0	$11.8M
State Of South Carolina	SC	Public Health or Welfare Agency	$0	$10.4M
South Carolina Dept Of Mental Health Accounting Office	SC	Community/Behavioral Health Agency	$0	$8.8M
Palladium Hospice And Palliative Care, LLC	SC	Community Based Hospice Care Agency	$0	$8.2M
Lutheran Family Services In The Carolinas	SC	Community/Behavioral Health Agency	$0	$7.8M

Laura Herpel — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References