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    v1.0.28
    OpenPayerNPI Medicare & MedicaidBradley Hertzler
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    Bradley Hertzler — Billing Profile & Reimbursement Data

    NPI 1780003293 · Scottsbluff, NE · Surgery Physician

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    Bradley Hertzler is a surgery physician provider located in Scottsbluff, Nebraska. This profile covers 16 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
    OrganizationBradley Hertzler
    Address2 W 42nd St Ste 3100
    CityScottsbluff
    StateNE
    ZIP69361
    TaxonomySurgery Physician
    NPI EnumeratedApril 11, 2014

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

    Payer SourceTotal Paid
    Medicare$51.4K
    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.

    16 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…150$60$8K
    22558The provider performs arthrodesis, also known as spinal fusion, in the lower back, to permanently join two vertebrae, the interlocking bones of the spine, to alleviate persistent pain caused by a…10$640$7K
    47563The provider removes the gallbladder through a laparoscope, a tubular instrument with a light source and camera inserted through the abdominal wall, to treat gallbladder disease. She injects dye and…10$500$6.4K
    99204The 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…60$100$5.9K
    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…60$80$5K
    45380The provider examines the rectum and colon using a flexible colonoscope, a tubular instrument with a light source and camera, to look for the cause of a patient's symptoms, which may include…30$110$3.2K
    46221In this procedure, the provider ligates, or ties off, the base of a hemorrhoid inside the rectum with a rubber band. The provider performs this procedure to let the hemorrhoid dry out due to a lack…20$170$2.6K
    45385The provider examines the colon and rectum using a colonoscope, a long, thin flexible tubular instrument with a light source and camera. He removes one or more tumors, polyps, or other lesions with a…20$170$2.5K
    99232The 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…40$60$2.4K
    99223The 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…10$130$1.7K

    Showing 1–10 of 16

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 16 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    16 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    4538511312050$280$33.2K
    992142,0403,210110$70$14.9K
    453807713040$190$14.9K
    4323910511060$110$9.2K
    2255861010$590$8.8K
    992329701,39080$60$8.6K
    992131,0403,22090$50$7.9K
    992239611,06040$120$6.3K
    992043631,32030$100$5.3K
    47563122020$310$5K

    Showing 1–10 of 16

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Regional West Physicians ClinicNEFamily Medicine Physician$0$9M
    Box Butte General HospitalNECritical Access Hospital$0$3.4M
    Chadron Community Hospital Corp.NECritical Access Hospital$0$1.4M
    Box Butte General HospitalNERural Health Clinic/Center$0$900.6K
    Kimball County HospitalNERural Health Clinic/Center$0$691.8K
    Kimball County HospitalNECritical Access Hospital$0$518.6K
    John KabalinNEUrology Physician$453.6K$0
    Thomas SullivanNCDiagnostic Radiology Physician$18.9K$393.7K
    Edward StevensonCOUveitis and Ocular Inflammatory Disease (Ophthalmology) Physician$343.5K$0
    Mark HartmanNERadiation Oncology Physician$287.2K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Regional West Medical CenterNEGeneral Acute Care Hospital$0$15.1M
    Pediatric Dentistry Of NebraskaNEPediatric Dentistry$0$3.6M
    Regional West Medical CenterNEEmergency Medicine Physician$0$1.7M
    Med-trans CorporationNEAir Ambulance$1.5M$8.9K
    Valley Ambulance Services, IncNEAmbulance$558K$868.6K
    Regional West Medical CenterNEHome Health Agency$0$1.4M
    Options In Psychology LLCNEPsychologist$0$1.2M
    Webb Orthodontics, LLPNEOrthodontics and Dentofacial Orthopedics Dentistry$0$1.2M
    Quick Care Medical Services IncNEUrgent Care Clinic/Center$0$1.1M
    Renal Treatment Centers West IncNEEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center$0$1.1M

    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. Nebraska Distribution
    Bradley Hertzler — 0 of 16 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Nebraska