Hirshfield, Gary

Hirshfield, Gary was paid $87K by Medicaid between Jan 2018 and Nov 2024, across 11 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 57% of everything it billed.

33Billing provider infoHIRSHFIELD, GARY
LONG ISLAND CITY, NY 11101

33aNPI1063415420assigned 05/31/2005

33bProvider typeOphthalmology Physician

28Total paid$87K

24GClaims3,261

24DCodes billed11

24AFirst – last monthJan 2018 – Nov 2024

Compared with peers

Next to other Ophthalmology Physician providers in New York

Rank by total paid#407 of 1,085

Median peer was paid$34K

This provider vs. median2.6×

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	261	$4K
2019	360	$10K
2020	328	$8K
2021	433	$10K
2022	483	$14K
2023	633	$17K
2024incomplete	763	$23K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
92014	Ophthalmological services: medical examination and evaluation, comprehensive, established patient	57%	1,632	1,619	$49K
92012	Ophthalmological services: medical examination and evaluation, intermediate, established patient	23%	1,056	1,014	$20K
92004	Ophthalmological services: medical examination and evaluation, comprehensive, new patient	13%	204	204	$11K
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	3.9%	66	66	$3K
92083		1.2%	69	69	$1K
92134		<1%	91	90	$741.07
92133		<1%	54	54	$449.59
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	<1%	25	25	$420.43
92286		<1%	14	14	$312.47
92250		<1%	13	13	$244.03
92015	Determination of refractive state	0%	37	37	$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.