Herdegen, James

Herdegen, James was paid $123K by Medicaid between Jan 2018 and Jul 2024, across 9 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 65% of everything it billed.

33Billing provider infoHERDEGEN, JAMES
CHICAGO, IL 60612

33aNPI1184737793assigned 08/16/2006

33bProvider typeCritical Care Medicine (Internal Medicine) Physician

28Total paid$123K

24GClaims1,959

24DCodes billed9

24AFirst – last monthJan 2018 – Jul 2024

Compared with peers

Next to other Critical Care Medicine (Internal Medicine) Physician providers in Illinois

Rank by total paid#47 of 189

Median peer was paid$43K

This provider vs. median2.9×

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	261	$19K
2019	377	$29K
2020	521	$34K
2021	322	$17K
2022	143	$8K
2023	186	$10K
2024incomplete	149	$6K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
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	65%	1,251	1,205	$79K
99244	Office or other outpatient consultation, moderate to high complexity	7.1%	55	54	$9K
99204	Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity	6.8%	123	117	$8K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	6.6%	171	156	$8K
95810	Polysomnography; sleep staging with 4 or more additional parameters	6.6%	119	117	$8K
95811		4.4%	88	88	$5K
95800		2.9%	103	102	$4K
95806		<1%	18	18	$868.29
G2211	Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established)	<1%	31	30	$62.26

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.