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 · 2024

Total received

$28

Payment records

By payment type

Food and Beverage$28

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