Physician
Polanco Hernandez, Gustavo
Polanco Hernandez, Gustavo was paid $80K by Medicaid between Feb 2023 and Nov 2024, across 15 billing codes. Its largest line is 99442, — 61% of everything it billed.
33Billing provider infoPOLANCO HERNANDEZ, GUSTAVO
BRONX, NY 10453
BRONX, NY 10453
33aNPI1013558188assigned 09/30/2019
33bProvider typeCritical Care Medicine (Internal Medicine) Physician
28Total paid$80K
24GClaims2,071
24DCodes billed15
24AFirst – last monthFeb 2023 – Nov 2024
Compared with peers
Next to other Critical Care Medicine (Internal Medicine) Physician providers in New York
Rank by total paid#32 of 278
Median peer was paid$4K
This provider vs. median19×
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 | |
|---|---|---|---|
| 2023 | 991 | $45K | |
| 2024incomplete | 1,080 | $35K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99442 | 61% | 1,173 | 1,085 | $49K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 29% | 506 | 457 | $24K |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 9.2% | 114 | 108 | $7K |
| 99401 | <1% | 16 | 16 | $188.35 | |
| 99443 | <1% | 26 | 26 | $77.15 | |
| 99406 | <1% | 13 | 13 | $70.16 | |
| 1170F | 0% | 32 | 32 | $0.00 | |
| 3074F | 0% | 20 | 20 | $0.00 | |
| 1125F | 0% | 26 | 26 | $0.00 | |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 0% | 14 | 14 | $0.00 |
| 99497 | 0% | 31 | 31 | $0.00 | |
| 3725F | 0% | 29 | 29 | $0.00 |
3 more codes
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.