Herman, David

Herman, David was paid $73K by Medicaid between Jan 2018 and Dec 2024, across 9 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 88% of everything it billed.

33Billing provider infoHERMAN, DAVID
GLEN CARBON, IL 62034

33aNPI1205945417assigned 08/30/2006

33bProvider typePediatrics Physician

28Total paid$73K

24GClaims1,731

24DCodes billed9

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other Pediatrics Physician providers in Illinois

Rank by total paid#829 of 1,805

Median peer was paid$55K

This provider vs. median1.3×

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	195	$8K
2019	282	$10K
2020	147	$4K
2021	353	$14K
2022	251	$12K
2023	205	$9K
2024incomplete	298	$16K

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	88%	1,301	1,117	$64K
87426	Infectious agent antigen detection, SARS-CoV-2 (COVID-19)	4.9%	100	90	$4K
87880	Infectious agent antigen detection by immunoassay; Streptococcus, group A	3.1%	151	121	$2K
99393	Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years)	1.6%	15	15	$1K
87804	Infectious agent antigen detection by immunoassay; Influenza, each type	1.3%	36	30	$915.12
90674		<1%	30	27	$508.44
90686		<1%	59	57	$377.60
90688		<1%	12	12	$203.86
90460	Immunization administration through 18 years of age via any route, first or only component	0%	27	14	$0.00

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.