Loading...

    Explore
    • Policy Monitoring
    • Live Policy Feed
    • Billing Codes
    • NPI Medicare & Medicaid
    • Healthcare Providers
    • Health Insurance Payers
    • States
    • Service Lines
    • Taxonomy Codes
    Lookup tools
    • Billing Code Lookup
    • CPT Modifier Lookup
    • Provider Taxonomy Code Lookup
    • Healthcare Provider & Facility Lookup
    • Health Insurance Payer Lookup
    • Payer Contact Directory

    Policy & Benchmark Tools

    • Prior Authorization Lookup
    • Coverage Criteria Lookup
    • Timely Filing Lookup
    • Billing Code Reimbursement Rates
    • Payer Comparison Dashboard
    • Facility Comparison Dashboard
    • All tools

    Company

    • About OpenPayer
    • Data Sources
    • Trek Health
    OpenPayerby Trek Health
    LinkedInYouTube

    © 2026 Trek Health. All rights reserved.

    OpenPayer is built and maintained by Trek Health.

    v1.0.28
    OpenPayerNPI Medicare & MedicaidDenise Sherman
    Ask Trek AI about this page

    Denise Sherman — Billing Profile & Reimbursement Data

    NPI 1982682159 · Tyler, TX · Internal Medicine Physician

    Customize your policy alerts

    Sign up for Denise Sherman — Billing Profile & Reimbursement Data policy alerts

    Get alerted when relevant policies change without checking for updates manually.

    Monitor payer policy activity

    Receive email alerts as soon as relevant payer policies are published or updated.

    Denise Sherman is a internal medicine physician provider located in Tyler, Texas. This profile covers 19 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.

    Table of contents

    Progress1 / 8

    Explore openpayer tools

    • Billing CodesCPT, HCPCS, DRG & more
    • Reimbursement RatesCommercial vs. Medicare rate reports
    • ProvidersHospitals & facilities
    • PayersPlans & market footprint
    • Taxonomy CodesNUCC specialty codes
    • ModifiersCPT modifiers & usage
    • Prior AuthorizationPA policies by payer & drug
    • Timely FilingFiling deadlines by payer
    • Coverage CriteriaMedical necessity by payer
    • Payer ContactsClaims, PA & appeals contacts
    View all tools

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationDenise Sherman
    Address3309 University Blvd
    CityTyler
    StateTX
    ZIP75701
    TaxonomyInternal Medicine Physician
    NPI EnumeratedJanuary 6, 2006

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

    Payer SourceTotal Paid
    Medicare$127K
    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.

    19 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…690$80$52.6K
    G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit320$120$39.9K
    G0444Annual depression screening, 5 to 15 minutes330$20$5.8K
    36415In this procedure, the provider inserts a needle into a vein to collect a blood sample.690$10$5.5K
    G0008Administration of influenza virus vaccine140$30$4.2K
    90686This code represents a vaccine product administered into the muscle to protect against four strains of influenza (flu). It is preservative free, uses split virus technology, and is given as a 0.5 mL…140$20$3.2K
    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…60$50$3.1K
    G0402Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment20$160$2.7K
    G0447Face-to-face behavioral counseling for obesity, 15 minutes100$20$2.5K
    93306The provider uses transducers to obtain two–dimensional (2D) images of the heart structures through the chest wall. He evaluates the anatomy and function of all four heart chambers, valves, adjacent…10$140$2K

    Showing 1–10 of 19

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 19 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    19 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    933061,8381,900210$90$23.1K
    992141,89432,500110$80$17.6K
    G04392117,11060$120$10.6K
    9921316,56429,79070$60$8.4K
    364154836,270100$10$4.5K
    770808501,38060$20$3K
    G040227192020$150$2.6K
    G00081,2017,86050$30$2.3K
    G01796791,13040$30$2.3K
    6921070378040$30$2.3K

    Showing 1–10 of 19

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Russell TophamTXInternal Medicine Physician$157.5K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Mother Frances Hospital Regional Health Care CenterTXGeneral Acute Care Hospital$0$32.9M
    Premier Kids Care IncTXCommunity/Retail Pharmacy$0$28.2M
    Pediatric Home Healthcare, LLCTXHome Health Agency$0$23.7M
    Thomas BochowTXOphthalmology Physician$3.6M$0
    Wendy PrewettTXAcute Care Nurse Practitioner$2.9M$0
    Heaton Laser And Surgery Center L L CTXAmbulatory Surgical Clinic/Center$2.7M$113K
    Angela SutherlandTXNurse Practitioner$2.3M$0
    Diman LamichhaneTXRheumatology Physician$2.1M$0
    Trincare IncTXClinical Medical Laboratory$539.4K$1.5M
    Speed Of Light Xray, LLCTXPortable X-ray and/or Other Portable Diagnostic Imaging Supplier$1.3M$529.8K

    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. Texas Distribution
    Denise Sherman — 3 of 19 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Texas