Medicare Billing by Year
| Year | Procedures | Beneficiaries | Services | Submitted | Medicare Paid |
|---|---|---|---|---|---|
| 2021 | 7 | 437 | 476 | $115,854 | $33,878 |
| 2020 | 20 | 1,526 | 1,862 | $415,630 | $132,749 |
All Medicare Procedures & Services
27 procedure records from CMS Medicare Utilization — Page 1 of 2
| HCPCS | Description | Setting | Year | Patients | Services | Charges | Medicare Paid | Ratio |
|---|---|---|---|---|---|---|---|---|
| 99214 | Established patient outpatient visit, total time 30-39 minutes | Office | 2021 | 202 | 233 | $74,560 | $18,121 | 24.3% |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | Office | 2021 | 53 | 53 | $16,218 | $7,434 | 45.8% |
| 99497 | Advance care planning by the physician or other qualified health care professional, first 30 minutes | Office | 2021 | 46 | 46 | $8,280 | $4,106 | 49.6% |
| 99213 | Established patient outpatient visit, total time 20-29 minutes | Office | 2021 | 53 | 58 | $13,340 | $3,094 | 23.2% |
| G0444 | Annual depression screening, 15 minutes | Office | 2021 | 36 | 36 | $1,908 | $718.56 | 37.7% |
| 83036 | Hemoglobin a1c level | Office | 2021 | 35 | 38 | $1,368 | $368.98 | 27.0% |
| 36415 | Insertion of needle into vein for collection of blood sample | Office | 2021 | 12 | 12 | $180.00 | $36.00 | 20.0% |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | Office | 2020 | 342 | 615 | $196,800 | $45,257 | 23.0% |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | Office | 2020 | 159 | 159 | $48,654 | $19,275 | 39.6% |
| 99497 | Advance care planning by the physician or other qualified health care professional | Office | 2020 | 190 | 191 | $34,380 | $16,922 | 49.2% |
| G0438 | Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit | Office | 2020 | 72 | 72 | $19,440 | $12,882 | 66.3% |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | Office | 2020 | 138 | 175 | $40,250 | $8,519 | 21.2% |
| 90662 | Vaccine for influenza for injection into muscle | Office | 2020 | 103 | 104 | $7,072 | $6,299 | 89.1% |
| 99496 | Transitional care management services, highly complexity, requiring face-to-face visits within 7 days of discharge | Office | 2020 | 20 | 20 | $12,260 | $4,106 | 33.5% |
| G0444 | Annual depression screening, 15 minutes | Office | 2020 | 151 | 151 | $8,003 | $2,907 | 36.3% |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | Office | 2020 | 28 | 28 | $13,300 | $2,659 | 20.0% |
| G0402 | Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment | Office | 2020 | 15 | 15 | $6,015 | $2,614 | 43.5% |
| 90670 | Pneumococcal vaccine for injection into muscle | Office | 2020 | 11 | 11 | $3,872 | $2,532 | 65.4% |
| 90732 | Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older | Office | 2020 | 20 | 20 | $3,100 | $2,342 | 75.6% |
| G0008 | Administration of influenza virus vaccine | Office | 2020 | 116 | 117 | $9,243 | $2,223 | 24.1% |
| G0180 | Physician certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial implem | Office | 2020 | 31 | 40 | $4,000 | $1,626 | 40.7% |
| 99443 | Physician telephone patient service, 21-30 minutes of medical discussion | Office | 2020 | 12 | 12 | $3,680 | $916.86 | 24.9% |
| 83036 | Hemoglobin a1c level | Office | 2020 | 49 | 63 | $2,268 | $607.74 | 26.8% |
| G0009 | Administration of pneumococcal vaccine | Office | 2020 | 31 | 31 | $1,085 | $587.27 | 54.1% |
| 90688 | Vaccine for influenza for administration into muscle, 0.5 ml dosage | Office | 2020 | 12 | 12 | $408.00 | $230.04 | 56.4% |
About Dr. David Herec, MD
Dr. David Herec, MD is a Internal Medicine healthcare provider based in Riverside, Rhode Island. This provider has been registered with the National Plan and Provider Enumeration System (NPPES) since 06/02/2006. The National Provider Identifier (NPI) number assigned to this provider is 1316984636.
As a Medicare-enrolled provider, Herec has provided services to 1,963 Medicare beneficiaries, totaling 2,338 services with total Medicare billing of $166,627. Data is available for 2 years (2020–2021), covering 27 distinct procedure/service records.
Practice Information
- Specialty Internal Medicine
- Other Specialties Internal Medicine
- Location Riverside, RI
- Active Since 06/02/2006
- Last Updated 10/04/2012
- Taxonomy Code 207R00000X
- Entity Type Individual
- NPI Number 1316984636
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Data Sources
Provider data from NPPES. Payment data from CMS Open Payments. Medicare data from CMS Medicare Provider Utilization. All data is public and updated periodically.
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