Physician
Herrmann, Michael
Herrmann, Michael was paid $378K by Medicaid between Jan 2018 and Dec 2024, across 9 billing codes. Its largest line is 99395, Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years — 47% of everything it billed.
33Billing provider infoHERRMANN, MICHAEL
BELLEVILLE, IL 62223
BELLEVILLE, IL 62223
33aNPI1164525093assigned 09/06/2006
33bProvider typeObstetrics & Gynecology Physician
28Total paid$378K
24GClaims7,357
24DCodes billed9
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Obstetrics & Gynecology Physician providers in Illinois
Rank by total paid#96 of 911
Median peer was paid$41K
This provider vs. median9.3×
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 | 655 | $34K | |
| 2019 | 1,090 | $60K | |
| 2020 | 1,508 | $55K | |
| 2021 | 1,172 | $57K | |
| 2022 | 1,023 | $62K | |
| 2023 | 1,045 | $58K | |
| 2024incomplete | 864 | $52K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 47% | 2,079 | 1,889 | $177K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 37% | 2,965 | 2,640 | $140K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 5.3% | 242 | 219 | $20K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 4.2% | 1,296 | 1,229 | $16K |
| 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 | 2.7% | 126 | 124 | $10K |
| G2012 | Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion | 1.5% | 469 | 174 | $6K |
| 99385 | 1.4% | 50 | 50 | $5K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 116 | 101 | $3K |
| 76801 | <1% | 14 | 12 | $934.70 |
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.