Jon C. Herbener, M.D.,P.C.
Jon C. Herbener, M.D.,P.C. was paid $456K by Medicaid between Jan 2021 and Dec 2024, across 27 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 73% of everything it billed.
33Billing provider infoJON C. HERBENER, M.D.,P.C.
HILLSDALE, MI 49242
HILLSDALE, MI 49242
33aNPI1518262096assigned 01/14/2011
33bProvider typeSpecialist
28Total paid$456K
24GClaims11,343
24DCodes billed27
24AFirst – last monthJan 2021 – Dec 2024
Compared with peers
Next to other Specialist providers in Michigan
Rank by total paid#50 of 181
Median peer was paid$94K
This provider vs. median4.8×
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 | |
|---|---|---|---|
| 2021 | 2,597 | $92K | |
| 2022 | 3,829 | $145K | |
| 2023 | 2,665 | $126K | |
| 2024incomplete | 2,252 | $93K |
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 | 73% | 4,794 | 3,681 | $334K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 13% | 732 | 732 | $59K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 4.3% | 312 | 298 | $20K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 4.0% | 223 | 222 | $18K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 2.4% | 1,035 | 1,032 | $11K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 2.0% | 107 | 106 | $9K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 184 | 175 | $1K |
| 99188 | <1% | 151 | 151 | $1K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 84 | 79 | $766.64 |
| 96127 | <1% | 180 | 179 | $407.65 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 44 | 44 | $308.00 |
| 96161 | <1% | 47 | 41 | $18.96 |
15 more codes
| 90686 | 0% | 207 | $0.00 | |
| 90651 | 0% | 12 | $0.00 | |
| 90698 | 0% | 236 | $0.00 | |
| 99406 | 0% | 60 | $0.00 | |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | 0% | 636 | $0.00 |
| 90680 | 0% | 91 | $0.00 | |
| 90744 | 0% | 60 | $0.00 | |
| 90677 | 0% | 12 | $0.00 | |
| 90716 | 0% | 12 | $0.00 | |
| 90461 | 0% | 238 | $0.00 | |
| 90670 | 0% | 220 | $0.00 | |
| G0438 | Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit | 0% | 634 | $0.00 |
| G9920 | Screening performed and negative | 0% | 949 | $0.00 |
| 90633 | 0% | 71 | $0.00 | |
| 90707 | 0% | 12 | $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.
From NPPES
Who's on the registration
Authorized officialHERBENER, JON (DOCTOR/OWNER)