Herman, Luke
Herman, Luke was paid $480K by Medicaid between Jan 2018 and Oct 2020, across 6 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 80% of everything it billed.
33Billing provider infoHERMAN, LUKE
ROCKFORD, IL 61103
ROCKFORD, IL 61103
33aNPI1457509150assigned 09/05/2008
33bProvider typeStudent in an Organized Health Care Education/Training Program
28Total paid$480K
24GClaims10,040
24DCodes billed6
24AFirst – last monthJan 2018 – Oct 2020
Compared with peers
Next to other Student in an Organized Health Care Education/Training Program providers in Illinois
Rank by total paid#47 of 981
Median peer was paid$27K
This provider vs. median18×
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 | 5,190 | $249K | |
| 2019 | 3,728 | $172K | |
| 2020 | 1,122 | $59K |
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 | 80% | 7,439 | 5,277 | $385K |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | 9.4% | 1,022 | 816 | $45K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 7.6% | 1,077 | 751 | $36K |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | 2.6% | 182 | 132 | $12K |
| 81002 | <1% | 159 | 108 | $403.00 | |
| 81003 | <1% | 161 | 154 | $342.54 |
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.