What is Guillermo Herrera's specialty?

Guillermo Herrera (NPI 1558375220) is a Medicare-billing provider whose primary specialty is Pathology in Mobile, AL.

Where does Guillermo Herrera practice?

Guillermo Herrera practices in Mobile, AL, based on the location reported in the CMS Medicare provider datasets for NPI 1558375220.

How much does Medicare pay Guillermo Herrera?

Guillermo Herrera (NPI 1558375220) received approximately $11K in total Medicare Part B payments, serving 46 beneficiaries, per the CMS Medicare Physician & Other Practitioners dataset.

PROVIDER PROFILE · NPI 1558375220

Guillermo HerreraMD

PRACTICEUSA HEALTH PHYSICIAN BILLING SERVICES LLCSee all providers at this practice →

PathologyMobile, ALI

MEDICARE UTILIZATION · PART B · 2024

Total beneficiaries

150

Unique beneficiaries

—

Total services

421

Distinct HCPCS

Medicare payment

$9K

Peer benchmark

Total Medicare services vs. 161 Pathology providers in AL — bottom quintile (cohort median 1,364).

PRESCRIBING · PART D · 2024

No data available for this provider in 2024.

QUALITY · MIPS · 2024

Final MIPS score

95.3

Quality

85.8

Cost

75.8

Improvement activities

40.0

Promoting interop.

100.0

Payment adjustment

0.85%

Group

INDUSTRY PAYMENTS · OPEN PAYMENTS · 2025

Total received

$94

Payment records

By payment type

Food and Beverage$94

Top paying entities

Food and Beverage$94

REFERRAL NETWORK

Where Guillermo Herrera'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). 8 inbound referrers · 0 outbound destinations.

Receives referrals from

Inbound — who sends patients here

Physician	Patients	Visits
Hugh Massey Pathology · Richmond, VA	41	128
VIRGINIA COMMONWEALTH UNIVERSITY HEALTH SYSTEM AUTHORITY	40	113
Uma Prasad Diagnostic Radiology · Richmond, VA	34	50
Gaurav Gupta Nephrology · Richmond, VA	32	102
Anne King Nephrology · Richmond, VA	29	66
REDDY, PRATAP	23	28
Michael Britt Orthopedic Surgery · League City, TX	12	38
HOLLISTER, ANNE	11	23

Refers patients to

Outbound — where patients go next

No outbound pairs above the suppression threshold.

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

Healthparse Signals

Monitor this provider for changes — dated NPI change events