Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Hernandez-Zipfel, Maryjo

Hernandez-Zipfel, Maryjo was paid $118K by Medicaid between Jan 2018 and Jun 2020, across 7 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 51% of everything it billed.

33Billing provider infoHERNANDEZ-ZIPFEL, MARYJO
SAINT LOUIS, MO 63108
33aNPI1023036746assigned 07/18/2006
28Total paid$118K
24GClaims1,308
24DCodes billed7
24AFirst – last monthJan 2018 – Jun 2020
Compared with peers

Next to other Neonatal-Perinatal Medicine Physician providers in Missouri

Rank by total paid#15 of 51
Median peer was paid$56K
This provider vs. median2.1×

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

$0$5.0K$10K$15K2018201920202021202220232024
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
YearClaimsPaid
2018725$77K
2019400$31K
2020183$10K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 51% 775 756 $61K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 17% 164 163 $20K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 15% 136 134 $18K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 5.9% 44 42 $7K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 5.8% 58 57 $7K
92551 4.2% 116 110 $5K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 15 15 $907.10

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.