Herscher, Fred

Herscher, Fred was paid $194K by Medicaid between Jan 2018 and Aug 2023, across 7 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 89% of everything it billed.

33Billing provider infoHERSCHER, FRED
SUTHERLIN, OR 97479

33aNPI1619974235assigned 06/29/2005

33bProvider typeFamily Medicine Physician

28Total paid$194K

24GClaims5,568

24DCodes billed7

24AFirst – last monthJan 2018 – Aug 2023

Compared with peers

Next to other Family Medicine Physician providers in Oregon

Rank by total paid#63 of 208

Median peer was paid$49K

This provider vs. median4.0×

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	624	$35K
2019	938	$34K
2020	1,103	$33K
2021	1,190	$32K
2022	1,137	$37K
2023	576	$24K

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	89%	3,430	2,927	$174K
99335		7.3%	708	549	$14K
99348		2.2%	172	152	$4K
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	1.1%	42	37	$2K
G8754	Most recent diastolic blood pressure < 90 mmhg	0%	189	155	$0.00
G8427	Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications	0%	963	724	$0.00
G8752	Most recent systolic blood pressure < 140 mmhg	0%	64	54	$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.