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

Why is the Medicaid comparison limited to New Jersey 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. New Jersey (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.

Alejandro Herrera (NPI 1558512855)

Field	Value
Entity Type	Individual
Organization	Alejandro Herrera
Address	1001 Briggs Rd Ste 250
City	Mount Laurel
State	NJ
ZIP	08054
Taxonomy	Infectious Disease Physician
NPI Enumerated	October 6, 2008

Payer Source	Total Paid
Medicare	$127.6K
Medicaid	$0

Medicare: Complete Services Breakdown

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

9 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99223	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	330	$150	$48.4K
99233	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	310	$100	$31.3K
99232	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	430	$70	$28.5K
96365	The provider administers the initial intravenous infusion of a medication or other substance for a period up to one hour to prevent, treat, or diagnose a condition or disease.	200	$60	$11.3K
99212	The 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,…	50	$50	$2.5K
J1335	Injection, ertapenem sodium, 500 mg	150	$10	$1.7K
99222	The 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…	20	$110	$1.6K
J0696	Injection, ceftriaxone sodium, per 250 mg	560	$0	$0
J0878	Injection, daptomycin, 1 mg	43,400	$0	$0

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 9 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. New Jersey Distribution

Alejandro Herrera — 1 of 7 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — New Jersey

Full comparison — all codes billed, vs. state median

9 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99233	962	4,270	110	$100	$22.5K
99232	1,196	6,220	120	$70	$18.4K
99223	136	4,980	50	$140	$11.8K
96365	69	320	90	$60	$8.5K
99222	3,688	4,370	40	$110	$6.7K
99212	1,288	3,450	40	$40	$3.6K
J0878	8	20	35,330	$1	$2.3K
J1335	10	30	110	$10	$1.9K
J0696	12	90	110	$1	$140

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Virtua Medical Group, PA	NJ	Family Medicine Physician	$0	$48M
Somc Medical Care Foundation, Inc.	OH	Family Medicine Physician	$0	$25.3M
Summit Surgical Center LLC	NJ	Ambulatory Surgical Clinic/Center	$484.7K	$3.6M
Steven Bromley	NJ	Neurology Physician	$2.9M	$0
Judith Lightfoot	NJ	Infectious Disease Physician	$647.5K	$0
Megdad Zaatreh	NJ	Neurology Physician	$582.2K	$3.8K
Jason Palermo	NJ	Cardiovascular Disease Physician	$536.8K	$0
Darius Sholevar	NJ	Clinical Cardiac Electrophysiology Physician	$482.5K	$0
Ralph Russo	NJ	Nuclear Cardiology Physician	$458K	$0
Heath Saltzman	NJ	Clinical Cardiac Electrophysiology Physician	$389.9K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Preferred Home Health Care & Nursing Services, Inc.	NJ	Home Health Agency	$0	$224.6M
Res-care New Jersey, Inc.	NJ	Developmentally Disabled Services Day Training Agency	$0	$81.8M
Durand Academy And Community Services	NJ	Developmentally Disabled Services Day Training Agency	$0	$55M
Epic Health Services, Inc	NJ	Home Health Agency	$0	$51.1M
Mentor Abi	NJ	Rehabilitation Hospital	$0	$41.9M
Caring Counselors, Inc.	NJ	Community/Behavioral Health Agency	$0	$29.6M
Starlight Home Care Agency, Inc	NJ	Home Health Agency	$0	$29.2M
Preferred Home Health Care & Nursing Services, Inc.	NJ	Home Health Agency	$0	$25.8M
Bayada Home Health Care, Inc.	NJ	Home Health Agency	$0	$25.1M
Samaritan Healthcare & Hospice Inc	NJ	Community Based Hospice Care Agency	$0	$20.1M

Alejandro Herrera — Billing Profile & Reimbursement Data

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Alejandro Herrera — 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