NP / PA
Herkimer Family Nurse Practitioners PLLC
Herkimer Family Nurse Practitioners PLLC was paid $2.21M by Medicaid between Jan 2018 and Dec 2024, across 28 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 55% of everything it billed.
33Billing provider infoHERKIMER FAMILY NURSE PRACTITIONERS PLLC
HERKIMER, NY 13350
HERKIMER, NY 13350
33aNPI1053742924assigned 12/03/2013
33bProvider typeFamily Nurse Practitioner
28Total paid$2.21M
24GClaims48,968
24DCodes billed28
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Family Nurse Practitioner providers in New York
Rank by total paid#4 of 1,582
Median peer was paid$2K
This provider vs. median964×
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 | 4,329 | $190K | |
| 2019 | 6,181 | $267K | |
| 2020 | 7,546 | $303K | |
| 2021 | 7,600 | $351K | |
| 2022 | 8,738 | $408K | |
| 2023 | 8,059 | $377K | |
| 2024incomplete | 6,515 | $318K |
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 | 55% | 20,628 | 17,915 | $1.21M |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 13% | 3,809 | 3,796 | $285K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 11% | 3,476 | 3,320 | $242K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 10.0% | 2,977 | 2,970 | $221K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 5.7% | 1,533 | 1,526 | $125K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 4.3% | 8,476 | 8,393 | $95K |
| 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 | <1% | 189 | 176 | $15K |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | <1% | 164 | 159 | $5K |
| 81002 | <1% | 2,583 | 2,577 | $5K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 1,034 | 1,014 | $4K |
| 99441 | <1% | 158 | 147 | $3K | |
| 99442 | <1% | 13 | 13 | $458.62 |
16 more codes
| 90688 | <1% | 346 | $149.36 | |
| 90686 | <1% | 283 | $125.59 | |
| 81000 | <1% | 15 | $60.00 | |
| 90656 | <1% | 28 | $23.53 | |
| 90698 | 0% | 694 | $0.00 | |
| 90744 | 0% | 117 | $0.00 | |
| 90696 | 0% | 121 | $0.00 | |
| 90680 | 0% | 289 | $0.00 | |
| 90677 | 0% | 95 | $0.00 | |
| 90619 | 0% | 53 | $0.00 | |
| 90670 | 0% | 1,304 | $0.00 | |
| 90710 | 0% | 402 | $0.00 | |
| 90633 | 0% | 96 | $0.00 | |
| 90648 | 0% | 12 | $0.00 | |
| 90685 | 0% | 25 | $0.00 | |
| 90734 | 0% | 48 | $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.
From NPPES
Who's on the registration
Authorized officialGORSKI, MICHELLE (FNP)