Herbert, Allen

Herbert, Allen was paid $54K by Medicaid between Jan 2018 and Apr 2018, across 9 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 72% of everything it billed.

33Billing provider infoHERBERT, ALLEN
RUSTON, LA 71270

33aNPI1003863234assigned 05/31/2006

33bProvider typeFamily Medicine Physician

28Total paid$54K

24GClaims1,476

24DCodes billed9

24AFirst – last monthJan 2018 – Apr 2018

Compared with peers

Next to other Family Medicine Physician providers in Louisiana

Rank by total paid#216 of 417

Median peer was paid$63K

This provider vs. median0.9×

Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.

Box 24A · Dates of service

Paid by month

Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider

By year, as a table

Year	Claims	Paid
2018	1,476	$54K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	72%	970	809	$39K
99214	Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity	17%	155	137	$9K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	7.3%	66	64	$4K
87804	Infectious agent antigen detection by immunoassay; Influenza, each type	1.2%	48	24	$630.24
96372	Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular	1.0%	106	88	$560.00
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	<1%	15	15	$365.14
81002		<1%	46	43	$104.14
82962		<1%	29	26	$72.90
J1100	Injection, dexamethasone sodium phosphate, 1 mg	<1%	41	41	$12.16

Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.