Herrbold, Brian

Herrbold, Brian was paid $19K by Medicaid between Jan 2018 and Jun 2020, across 5 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 60% of everything it billed.

33Billing provider infoHERRBOLD, BRIAN
JEFFERSON CITY, MO 65109

33aNPI1689650509assigned 12/22/2005

33bProvider typePediatrics Physician

28Total paid$19K

24GClaims452

24DCodes billed5

24AFirst – last monthJan 2018 – Jun 2020

Compared with peers

Next to other Pediatrics Physician providers in Missouri

Rank by total paid#634 of 992

Median peer was paid$40K

This provider vs. median0.5×

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	238	$11K
2019	170	$6K
2020	44	$3K

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	60%	251	240	$12K
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	27%	74	69	$5K
87804	Infectious agent antigen detection by immunoassay; Influenza, each type	5.2%	34	28	$1K
99391	Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year)	5.0%	12	12	$962.88
90686		2.7%	81	80	$532.50

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.