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    OpenPayerNPI Medicare & MedicaidJay Herbst
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    Jay Herbst — Billing Profile & Reimbursement Data

    NPI 1710047097 · Port Charlotte, FL · Dermatology Physician

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    Jay Herbst is a dermatology physician provider located in Port Charlotte, Florida. This profile covers 63 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
    OrganizationJay Herbst
    Address2866 Tamiami Trl Ste A
    CityPort Charlotte
    StateFL
    ZIP33952
    TaxonomyDermatology Physician
    NPI EnumeratedDecember 9, 2006

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

    Payer SourceTotal Paid
    Medicare$577.6K
    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.

    63 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…1,130$60$71.1K
    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…140$460$65.3K
    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…420$60$26.7K
    77334The provider designs, develops, and constructs special and customized devices for proper radiation dose delivery and protection of nearby healthy tissues.270$100$25.9K
    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$260$19.7K
    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…70$260$18.6K
    17262The provider destroys a malignant lesion on the trunk, arms, or legs using techniques such as chemosurgery, cryosurgery, electrosurgery, or others. The malignant lesion is 1.1 cm to 2.0 cm in…140$120$16.7K
    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.550$30$16.5K
    77427Radiation therapy utilizes ionizing radiation beams that are directed at cancerous cells in order to destroy them. The radiation, damages the DNA (the genetic material) in the cell, thus preventing…110$150$16.4K
    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,…290$40$12.1K

    Showing 1–10 of 63

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 63 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    63 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    17311233350240$470$152.3K
    17312289330120$330$61.8K
    1731323428060$460$45.9K
    77427259370160$150$36.3K
    7728016331050$190$27.4K
    9921416,15232,760140$90$25K
    1404111312020$710$24.7K
    1526013115020$740$22.9K
    1313216743060$240$21.8K
    1406023226030$560$20.8K

    Showing 1–10 of 63

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Andrew StyperekFLProcedural Dermatology Physician$1.2M$0
    Erica MaillerFLMOHS-Micrographic Surgery Physician$919.8K$0
    Allan HarringtonFLMOHS-Micrographic Surgery Physician$827.9K$0
    Jefferson MorganFLDermatopathology (Pathology) Physician$699.1K$0
    Alexander HerbstFLDermatology Physician$554K$0
    Mohammad KhanFLDermatopathology (Pathology) Physician$355.9K$0
    Elizabeth JaffeNYPhysician Assistant$94.9K$0
    Luanne HespelerFLPhysician Assistant$90.7K$0
    Jennifer WellisleyPANurse Practitioner$74.7K$0
    Kevin HendricksonFLNurse Practitioner$63.7K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Leslie TarFLRheumatology Physician$3.2M$0
    Daniel DosoretzFLRadiation Oncology Physician$2.8M$0
    David RiceFLRadiation Oncology Physician$1.5M$0
    Ricardo MartinezFLInterventional Cardiology Physician$1.3M$0
    Sidney PeykarFLClinical Cardiac Electrophysiology Physician$1.1M$0
    Hiren PatelFLCardiovascular Disease Physician$984K$0
    Surgery Center Of Port Charlotte LtdFLAmbulatory Surgical Clinic/Center$929.6K$11.5K
    David HotchkissFLCardiovascular Disease Physician$683.5K$0
    St. Lucy's Outpatient Surgery Center, LLCFLAmbulatory Surgical Clinic/Center$662.3K$0
    Manuel HernandezFLDermatology Physician$656K$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. Florida Distribution
    Jay Herbst — 2 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Florida