Physician
Hernandez, Guisela
Hernandez, Guisela was paid $16K by Medicaid between Aug 2019 and Sep 2024, across 3 billing codes. Its largest line is 99223, Prolong inpt eval add15 m — 96% of everything it billed.
33Billing provider infoHERNANDEZ, GUISELA
VALLEY STREAM, NY 11580
VALLEY STREAM, NY 11580
33aNPI1033301015assigned 08/14/2007
33bProvider typeHospice and Palliative Medicine (Internal Medicine) Physician
28Total paid$16K
24GClaims1,091
24DCodes billed3
24AFirst – last monthAug 2019 – Sep 2024
Compared with peers
Next to other Hospice and Palliative Medicine (Internal Medicine) Physician providers in New York
Rank by total paid#13 of 47
Median peer was paid$4K
This provider vs. median4.0×
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 | |
|---|---|---|---|
| 2019 | 177 | $1K | |
| 2020 | 312 | $7K | |
| 2021 | 326 | $4K | |
| 2022 | 225 | $3K | |
| 2023 | 26 | $1K | |
| 2024incomplete | 25 | $599.87 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99223 | Prolong inpt eval add15 m | 96% | 847 | 836 | $16K |
| 99497 | 3.6% | 231 | 209 | $595.38 | |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | <1% | 13 | 12 | $37.28 |
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.