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    OpenPayerNPI Medicare & MedicaidFrederick Herman
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    Frederick Herman — Billing Profile & Reimbursement Data

    NPI 1811149610 · Henderson, NV · Allergy & Immunology Physician

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    Frederick Herman is a allergy & immunology physician provider located in Henderson, Nevada. This profile covers 14 Medicare and 9 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationFrederick Herman
    Address880 Seven Hills Drive
    CityHenderson
    StateNV
    ZIP89052
    TaxonomyAllergy & Immunology Physician
    NPI EnumeratedOctober 13, 2008

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

    Payer SourceTotal Paid
    Medicare$297K
    Medicaid$266.7K

    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.

    14 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    95165In this procedure, the provider mixes and prepares the antigens for allergen immunotherapy. Use this code when the provider prepares one or more antigens.8,310$10$91.4K
    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…1,230$70$82.4K
    95117The provider injects the patient with allergenic extracts to desensitize the patient to the allergen; the patient receives 2 or more injections at a single visit.3,400$10$30.6K
    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…280$90$25.9K
    95004The provider performs a percutaneous test with allergenic extracts to determine which substances (allergens) trigger an allergic reaction in the patient.7,620$1$22.9K
    31231In this procedure, the provider inserts an endoscope into the nasal cavity to examine the structures of the nasal cavity on one or both sides.70$150$9.9K
    95044In this procedure, the provider performs patch testing of an area to determine a possible allergic reaction.2,090$1$8.4K
    99203The provider sees a new 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 provider…60$90$5.3K
    95018This is a type of skin which helps the provider to find out which substance triggers immediate allergic response in an individual. This particular test is sequential and incremental with drugs and…230$20$3.4K
    11104The provider biopsies a skin lesion using a punch technique with a sharp hollow instrument; punch biopsies are commonly performed for deeper circular skin lesions.40$90$3.2K

    Showing 1–10 of 14

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 14 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    14 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    951652201,870$10$28.3K
    992149053,610110$80$19K
    3123172040$130$14.1K
    17110128150110$70$13K
    99213353,50080$60$10K
    950042302,870$1$8.9K
    95117130500$10$6.1K
    992041,1562,01030$110$5.8K
    95044110990$1$4.7K
    992033801,38030$70$3.8K

    Showing 1–10 of 14

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

    Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

    9 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…1,530$80$114.5K
    95165In this procedure, the provider mixes and prepares the antigens for allergen immunotherapy. Use this code when the provider prepares one or more antigens.300$210$63K
    94060The spirometry test is performed with a spirometer. The instrument displays a graphical representation, known as a spirogram, of the test results. The basic forced volume vital capacity (FVC) test is…570$50$25.5K
    95004The provider performs a percutaneous test with allergenic extracts to determine which substances (allergens) trigger an allergic reaction in the patient.110$230$25.4K
    95117The provider injects the patient with allergenic extracts to desensitize the patient to the allergen; the patient receives 2 or more injections at a single visit.2,740$10$21.9K
    99203The provider sees a new 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 provider…90$90$7.8K
    95044In this procedure, the provider performs patch testing of an area to determine a possible allergic reaction.50$110$5.1K
    96372A therapeutic, prophylactic, or diagnostic substance (a fluid, a drug, etc.) is injected via intramuscular or subcutaneous route into the patient's body. The procedure is performed by the physician…220$10$3K
    J1040Injection, methylprednisolone acetate, 80 mg20$10$80

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other Nevada providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. Nevada median

    9 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    95165In this procedure, the provider mixes and prepares the antigens for allergen immunotherapy. Use this code when the provider prepares one or more antigens.2950430$270$299.9K
    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…4902,250290$60$138K
    95004The provider performs a percutaneous test with allergenic extracts to determine which substances (allergens) trigger an allergic reaction in the patient.4070120$240$92.2K
    99203The provider sees a new 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 provider…443860100$70$42.9K
    95117The provider injects the patient with allergenic extracts to desensitize the patient to the allergen; the patient receives 2 or more injections at a single visit.730890$10$29K
    96372A therapeutic, prophylactic, or diagnostic substance (a fluid, a drug, etc.) is injected via intramuscular or subcutaneous route into the patient's body. The procedure is performed by the physician…168360190$10$26.9K
    94060The spirometry test is performed with a spirometer. The instrument displays a graphical representation, known as a spirogram, of the test results. The basic forced volume vital capacity (FVC) test is…950130$40$15.5K
    95044In this procedure, the provider performs patch testing of an area to determine a possible allergic reaction.41050$240$11.2K
    J1040Injection, methylprednisolone acetate, 80 mg61020$10$1.5K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    J Robert West, M.d., IncNVDermatology Physician$0$6.4M
    David GreeneCARadiation Oncology Physician$2.3M$119.1K
    Ari KaterelosGURadiation Oncology Physician$2.1M$0
    Ronald ShiellCAMOHS-Micrographic Surgery Physician$2M$0
    Keisha BaldeosinghCAGastroenterology Physician$74.3K$1.7M
    Farah AwadallaCADermatology Physician$1.4M$320K
    Joe ChauvapunCAVascular Surgery Physician$1.6M$0
    Michael MessinaCADermatology Physician$1.5M$0
    Andy HsiCAAnatomic Pathology & Clinical Pathology Physician$1.4M$0
    Payam AbrishamiCADermatology Physician$1.4M$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Platinum Hospitalists LLPNVHospitalist Physician$0$38.8M
    Urgent Care Nevada, LLCNVUrgent Care Clinic/Center$0$34.9M
    Dignity HealthNVGeneral Acute Care Hospital$0$18.7M
    Behavioral Health Solutions LLCNVCommunity/Behavioral Health Agency$0$11.4M
    Lamotte Pediatrics, LLPNVPediatrics Physician$0$9.4M
    Minghsun Liu Md PCNVInfectious Disease Physician$0$5.1M
    Optimized Management LLCNVClinical Social Worker$0$5M
    Misch/hyun/hodapp Healthcare, LLPNVPediatrics Physician$0$4.5M
    Ellsworth Cox Pediatric Dentistry LLCNVPediatric Dentistry$0$3.7M
    Total Infusion Care LLCNVHome Infusion Therapy Pharmacy$0$3.1M

    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. Nevada Distribution
    Frederick Herman — 4 of 14 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Nevada
    Medicaid Revenue by Year vs. Nevada Providers
    0 of 3 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Nevada Distribution
    Frederick Herman — 0 of 9 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Nevada