Physician
Perez, Stephen
Perez, Stephen was paid $15K by Medicaid between Jan 2018 and Nov 2024, across 47 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 52% of everything it billed.
33Billing provider infoPEREZ, STEPHEN
BRONX, NY 10451
BRONX, NY 10451
33aNPI1003953852assigned 01/31/2007
33bProvider typeInternal Medicine Physician
28Total paid$15K
24GClaims24,236
24DCodes billed47
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Internal Medicine Physician providers in New York
Rank by total paid#2,754 of 6,049
Median peer was paid$11K
This provider vs. median1.3×
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 | |
|---|---|---|---|
| 2018 | 2,207 | $3K | |
| 2019 | 2,247 | $1K | |
| 2020 | 3,366 | $2K | |
| 2021 | 6,313 | $5K | |
| 2022 | 5,118 | $715.29 | |
| 2023 | 1,184 | $2K | |
| 2024incomplete | 3,801 | $2K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 52% | 1,970 | 1,953 | $8K |
| 3074F | 7.3% | 1,543 | 1,522 | $1K | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 7.2% | 1,027 | 1,024 | $1K |
| 3078F | 6.5% | 1,436 | 1,416 | $975.00 | |
| H0001 | Alcohol and/or drug assessment | 5.5% | 2,051 | 2,047 | $833.82 |
| 97802 | 4.5% | 496 | 496 | $671.37 | |
| 97803 | 3.2% | 679 | 679 | $484.95 | |
| 82274 | 2.7% | 32 | 32 | $413.54 | |
| 93000 | 2.2% | 44 | 44 | $337.95 | |
| G0136 | Administration of a standardized, evidence-based assessment of physical activity and nutrition, 5-15 minutes, not more often than every 6 months | 1.3% | 35 | 35 | $201.37 |
| 3079F | 1.1% | 132 | 131 | $172.50 | |
| G0438 | Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit | 1.1% | 26 | 26 | $162.24 |
35 more codes
| G0446 | Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes | 1.0% | 26 | $152.65 |
| 3080F | <1% | 42 | $140.00 | |
| 3077F | <1% | 41 | $135.00 | |
| 3075F | <1% | 75 | $107.50 | |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | <1% | 1,331 | $90.00 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 12 | $60.00 |
| G8418 | Bmi is documented below normal parameters and a follow-up plan is documented | <1% | 892 | $30.00 |
| 90756 | <1% | 12 | $28.06 | |
| 82270 | <1% | 13 | $15.56 | |
| 3008F | <1% | 1,770 | $0.04 | |
| 3016F | 0% | 657 | $0.00 | |
| G9621 | Patient identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method and received brief counseling | 0% | 1,796 | $0.00 |
| 3725F | 0% | 756 | $0.00 | |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 0% | 1,897 | $0.00 |
| 4013F | 0% | 91 | $0.00 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 761 | $0.00 |
| 0556F | 0% | 227 | $0.00 | |
| G9507 | Documentation that the patient is on a statin medication or has documentation of a valid contraindication or exception to statin medications; contraindications/exceptions that can be defined by diagnosis codes include pregnancy during the measurement period, active liver disease, rhabdomyolysis, end stage renal disease on dialysis and heart failure; provider documented contraindications/exceptions include breastfeeding during the measurement period, woman of child-bearing age not actively taking birth control, allergy to statin, drug interaction (hiv protease inhibitors, nefazodone, cyclosporine, gemfibrozil, and danazol) and intolerance (with supporting documentation of trying a statin at least once within the last 5 years or diagnosis codes for myostitis or toxic myopathy related to drugs) | 0% | 174 | $0.00 |
| 4003F | 0% | 12 | $0.00 | |
| 99499 | 0% | 14 | $0.00 | |
| 1159F | 0% | 12 | $0.00 | |
| G8753 | Most recent systolic blood pressure >= 140 mmhg | 0% | 12 | $0.00 |
| 1160F | 0% | 12 | $0.00 | |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 1,898 | $0.00 |
| G9508 | Documentation that the patient is not on a statin medication | 0% | 87 | $0.00 |
| 3048F | 0% | 110 | $0.00 | |
| 3011F | 0% | 216 | $0.00 | |
| G9664 | Patients who are currently statin therapy users or received an order (prescription) for statin therapy | 0% | 174 | $0.00 |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 1,396 | $0.00 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 0% | 17 | $0.00 |
| 1000F | 0% | 183 | $0.00 | |
| 4050F | 0% | 12 | $0.00 | |
| 99422 | 0% | 13 | $0.00 | |
| G8755 | Most recent diastolic blood pressure >= 90 mmhg | 0% | 12 | $0.00 |
| 4450F | 0% | 12 | $0.00 |
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.