Physician
Herman, Martin
Herman, Martin was paid $37K by Medicaid between Oct 2020 and Feb 2022, across 3 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 58% of everything it billed.
33Billing provider infoHERMAN, MARTIN
PHILADELPHIA, PA 19134
PHILADELPHIA, PA 19134
33aNPI1710924030assigned 06/02/2006
33bProvider typeOrthopaedic Surgery Physician
28Total paid$37K
24GClaims500
24DCodes billed3
24AFirst – last monthOct 2020 – Feb 2022
Compared with peers
Next to other Orthopaedic Surgery Physician providers in Pennsylvania
Rank by total paid#60 of 291
Median peer was paid$7K
This provider vs. median5.0×
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 | |
|---|---|---|---|
| 2020 | 67 | $3K | |
| 2021 | 404 | $31K | |
| 2022 | 29 | $2K |
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 | 58% | 293 | 264 | $21K |
| 99243 | 23% | 73 | 71 | $8K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 19% | 134 | 127 | $7K |
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.