What is Lori Hergan's specialty?

Lori Hergan (NPI 1093861569) is a Medicare-billing provider whose primary specialty is Urology in Hemet, CA.

Where does Lori Hergan practice?

Lori Hergan practices in Hemet, CA, based on the location reported in the CMS Medicare provider datasets for NPI 1093861569.

How much does Medicare pay Lori Hergan?

Lori Hergan (NPI 1093861569) received approximately $95K in total Medicare Part B payments, serving 254 beneficiaries, per the CMS Medicare Physician & Other Practitioners dataset.

PROVIDER PROFILE · NPI 1093861569

Lori HerganM.D.

PRACTICEAPEX HOSPITALIST MEDICAL GROUP INCSee all providers at this practice →

UrologyHemet, CAI

MEDICARE UTILIZATION · PART B · 2024

Total beneficiaries

622

Unique beneficiaries

—

Total services

925

Distinct HCPCS

Medicare payment

$74K

Peer benchmark

Total Medicare services vs. 942 Urology providers in CA — below median (cohort median 1,637).

PRESCRIBING · PART D · 2024

Total Rx claims

2,036

Beneficiaries

—

Total drug cost

$148K

Distinct drugs

Brand share

36.3%

Top prescribed drugs

Tamsulosin Hcl474 claims

Oxybutynin Chloride236 claims

Finasteride226 claims

Solifenacin Succinate125 claims

Ciprofloxacin Hcl110 claims

QUALITY · MIPS · 2024

Final MIPS score

96.8

Quality

82.9

Cost

78.9

Improvement activities

40.0

Promoting interop.

0.0

Payment adjustment

0.92%

Group

INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024

Total received

$326

Payment records

By payment type

Food and Beverage$227

Education$99

Top paying entities

Food and Beverage$227

Education$99

FACILITY AFFILIATIONS

Hospital & Facility Affiliations (1)

CCN 050390

Hospital

REFERRAL NETWORK

Where Lori Hergan's patients come from & go

Directional shared-patient flow from Medicare claims — who sends patients to this provider (inbound) and where this provider's patients go next (outbound). 2 inbound referrers · 6 outbound destinations.

Receives referrals from

Inbound — who sends patients here

Physician	Patients	Visits
SHARP MEMORIAL HOSPITAL	31	55
Sharp Healthcare Clinical Laboratory · San Diego, CA	12	46

Refers patients to

Outbound — where patients go next

Physician	Patients	Visits
Sharp Healthcare Clinical Laboratory · San Diego, CA	63	117
Sharp Healthcare Clinical Laboratory · San Diego, CA	62	193
SHARP MEMORIAL HOSPITAL	43	111
Sharp Healthcare Clinical Laboratory · San Diego, CA	19	56
Sharp Healthcare Clinical Laboratory · San Diego, CA	18	36
Sharp Healthcare Clinical Laboratory · San Diego, CA	15	23

Source: CMS Physician Shared Patient Patterns (30-day window, Medicare FFS). Direction = a beneficiary seen by the first provider, then the second, within 30 days; a proxy for referral, not a documented referral. Pairs with fewer than 11 shared beneficiaries are suppressed.

CROSS-REFERENCE

Related data on other Healthparse brands

ProviderScore

OIG/SAM exclusion screening, sanctions history