Medicare Billing by Year
| Year | Procedures | Beneficiaries | Services | Submitted | Medicare Paid |
|---|---|---|---|---|---|
| 2022 | 4 | 89 | 125 | $27,175 | $5,227 |
| 2021 | 5 | 95 | 132 | $29,038 | $5,289 |
| 2020 | 4 | 77 | 112 | $27,240 | $4,995 |
All Medicare Procedures & Services
13 procedure records from CMS Medicare Utilization
| HCPCS | Description | Setting | Year | Patients | Services | Charges | Medicare Paid | Ratio |
|---|---|---|---|---|---|---|---|---|
| 99203 | New patient office or other outpatient visit, 30-44 minutes | Office | 2022 | 37 | 37 | $17,356 | $3,594 | 20.7% |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | Office | 2022 | 16 | 19 | $4,463 | $865.32 | 19.4% |
| 20550 | Injection into tendon or ligament | Office | 2022 | 16 | 17 | $5,130 | $724.98 | 14.1% |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | Office | 2022 | 20 | 52 | $226.00 | $42.79 | 18.9% |
| 99203 | New patient outpatient visit, total time 30-44 minutes | Office | 2021 | 29 | 29 | $13,106 | $2,503 | 19.1% |
| 99213 | Established patient outpatient visit, total time 20-29 minutes | Office | 2021 | 19 | 22 | $7,110 | $1,338 | 18.8% |
| 99212 | Established patient outpatient visit, total time 10-19 minutes | Office | 2021 | 17 | 19 | $3,747 | $819.31 | 21.9% |
| 20550 | Injections of tendon sheath, ligament, or muscle membrane | Office | 2021 | 14 | 16 | $4,845 | $585.82 | 12.1% |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | Office | 2021 | 16 | 46 | $230.00 | $43.35 | 18.8% |
| 99203 | New patient office or other outpatient visit, typically 30 minutes | Office | 2020 | 37 | 37 | $16,585 | $3,093 | 18.6% |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | Office | 2020 | 16 | 22 | $6,750 | $1,342 | 19.9% |
| 20550 | Injections of tendon sheath, ligament, or muscle membrane | Office | 2020 | 11 | 13 | $3,705 | $519.19 | 14.0% |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | Office | 2020 | 13 | 40 | $200.00 | $40.60 | 20.3% |
About James Herndon, MD MBA
James Herndon, MD MBA is a Orthopaedic Surgery healthcare provider based in Boston, Massachusetts. This provider has been registered with the National Plan and Provider Enumeration System (NPPES) since 11/14/2005. The National Provider Identifier (NPI) number assigned to this provider is 1326029612.
As a Medicare-enrolled provider, Herndon has provided services to 261 Medicare beneficiaries, totaling 369 services with total Medicare billing of $15,511. Data is available for 3 years (2020–2022), covering 13 distinct procedure/service records.
Practice Information
- Specialty Orthopaedic Surgery
- Other Specialties Surgery of the Hand
- Location Boston, MA
- Active Since 11/14/2005
- Last Updated 07/20/2012
- Taxonomy Code 207X00000X
- Entity Type Individual
- NPI Number 1326029612
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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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