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    OpenPayerNPI Medicare & MedicaidLydia Hernandez
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    Lydia Hernandez — Billing Profile & Reimbursement Data

    NPI 1982779740 · Cincinnati, OH · Surgery Physician

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    Lydia Hernandez is a surgery physician provider located in Cincinnati, Ohio. This profile covers 14 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
    OrganizationLydia Hernandez
    Address4030 Smith Rd Ste 300
    CityCincinnati
    StateOH
    ZIP45209
    TaxonomySurgery Physician
    NPI EnumeratedNovember 21, 2006

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

    Payer SourceTotal Paid
    Medicare$141.1K
    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.

    14 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    77067The provider takes two X–ray views of each breast for routine screening and may use specially designed computer software to help identify any potential abnormalities within the images; the software…310$120$36.2K
    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…380$90$32.9K
    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…300$60$17.5K
    77063The provider captures three dimensional images of the breast using X–rays at various angles for routine checkup. He checks for the presence of any abnormality within the breasts. Tomosynthesis…310$50$15.2K
    19301The provider removes a lesion, including surrounding margins, or a significant portion (a segment or quadrant) of the breast without removing the entire breast or lymph nodes.20$530$10K
    19303The provider removes the entire breast, nipples, and skin surrounding the nipple–areolar complex but leaves the pectoralis major and minor muscles and axillary nodes in place.10$810$9.7K
    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…30$120$3.4K
    76642In this procedure, the provider performs a focused ultrasound of one breast on a limited area. The procedure includes documentation of the images.50$60$3.1K
    77066The provider performs X–ray imaging on both breasts in a patient with a lump or suspected cancer and may use specially designed computer software to help identify or diagnose potential abnormalities…30$110$3.1K
    38525The provider surgically removes the lymph nodes in the deep axilla through an open incision. He may send them to the laboratory for analysis. The provider performs the procedure as an investigation…20$180$2.7K

    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
    77067232440360$40$21.3K
    77063224430330$30$13.3K
    1930391020$800$12.8K
    19301316020$510$11.8K
    992142,02920,010100$70$11.7K
    992131,89520,00070$50$6.6K
    992044,2948,33030$100$4.4K
    992051,8412,13020$140$4.2K
    38525315020$200$4K
    7706525432060$30$2.2K

    Showing 1–10 of 14

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Columbus Radiology CorpOHDiagnostic Radiology Physician$0$49.9M
    La Porte Clinic Company LLCINInternal Medicine Physician$0$18.8M
    Seven Hills Ob-gyn Associates LLCKYObstetrics & Gynecology Physician$0$3.6M
    Seven Hills Ob-gyn Associates LLCINObstetrics & Gynecology Physician$0$2.9M
    Kurt LeuenbergerOHHematology & Oncology Physician$1.7M$0
    Patrick WardOHHematology & Oncology Physician$1.4M$0
    Benjamin HermsOHHematology & Oncology Physician$1.3M$0
    Jeffrey GrassOHRadiation Oncology Physician$1.2M$0
    Kruti PatelOHHematology & Oncology Physician$1.1M$0
    Prasad KudalkarOHHematology & Oncology Physician$1M$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Mayfield Spine Surgery Center LLCOHAmbulatory Surgical Clinic/Center$2.8M$13.6K
    Zachary TempelOHNeurological Surgery Physician$377.3K$0
    Michael KachmannOHNeurological Surgery Physician$313.8K$0
    Robert BohinskiOHNeurological Surgery Physician$313K$0
    Randall HlubekOHNeurological Surgery Physician$255.3K$0
    Donald CarruthersOHPhysical Medicine & Rehabilitation Physician$212.1K$0
    William ToblerOHNeurological Surgery Physician$165K$0
    Marc OrlandoOHPhysical Medicine & Rehabilitation Physician$161.1K$0
    Maeve MaherOHDermatology Physician$136.2K$0
    Bryan KruegerOHNeurological Surgery Physician$119.2K$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. Ohio Distribution
    Lydia Hernandez — 0 of 14 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Ohio