Dr. Michael Herman, DO
1747 Baptist Clay DR Ste 300, Fleming Island, FL 32003 • +1-945-555-6990
Medical Education: Accredited U.S. Medical School (Class of 2015)
What This Doctor Actually Performs: CMS Medicare Utilization & Fleming Island Percentiles
NPI #1831179290 • CBSA Regional • Gastroenterology
Within the Fleming Island, FL (CBSA local) Gastroenterology cohort, Dr. Michael Herman, DO with sub-specialty concentration in 53 Active CMS HCPCS Codes ranks at the 80th municipal percentile and 73.28th FL percentile (-0.11σ Z-score) based on 2,679 billed procedures for 907 patients.
Among 5 tracked CMS fee-schedule codes for Dr. Herman (averaging 3.0 services per beneficiary), 99214 (Established Gastroenterology, GERD & IBD Evaluation) represents 37% of tracked volume (991 encounters), paired with 45380 (670x).
Cash-pay intake data for NPI 1831179290 (1747 Baptist Clay DR Ste 300, Fleming Island) indicates $216.00 typical out-of-pocket visit spend against a $216.00 locality benchmark, paired with 13-minute average reception wait and 4.85/5 biomarker openness.
NPI registry verification (#1831179290) confirms Dr. Michael Herman's DO standing serving CBSA 32003 with a 4.86/5 patient scorecard.
Compared against Fleming Island, FL Gastroenterology peers
2,679 annual services across 907 beneficiaries
Standard deviations from FL Gastroenterology mean utilization
Top Billed HCPCS/CPT Procedures & GPCI Self-Pay Cash Benchmarks
| HCPCS | Clinical Procedure Description | Annual Volume | Local Pct | Est. Cash Range |
|---|---|---|---|---|
| 99214 | Established Gastroenterology, GERD & IBD Evaluation | 991 | 80th | $182 – $250 |
| 45380 | Diagnostic Colonoscopy w/ Mucosal Tissue Biopsy | 670 | 75th | $439 – $602 |
| 43239 | Upper GI Esophagogastroduodenoscopy (EGD) w/ Biopsy | 563 | 76th | $365 – $500 |
| 45385 | Colonoscopy w/ Snare Polypectomy Lesion Removal | 268 | 79th | $489 – $670 |
| 99204 | New Patient Digestive & Hepatology Consultation | 188 | 79th | $257 – $352 |
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Dr. Michael Herman, DO Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Herman National Provider Identifier | NPI #1831179290 (DO) | CMS NPPES Registry (32003) |
| Dr. Herman Fleming Island CMS Volume Rank | 80.00th Pct (2,679 CMS svcs; Z -0.112σ) | CMS Medicare Part B (FL Gastroenterology) |
| Fair Cash-Pay New-Patient Benchmark | $216.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Fleming Island, FL) |
| Waiting-Room Wait Time & Cash Friendliness | $216.00 avg paid • 13 min lobby wait | 17 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.74/5 Listening • 4.85/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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