Physician
Sure, Hertzel
Sure, Hertzel was paid $771K by Medicaid between Jan 2018 and Nov 2024, across 59 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 54% of everything it billed.
33Billing provider infoSURE, HERTZEL
ELMHURST, NY 11373
ELMHURST, NY 11373
33aNPI1083727762assigned 08/16/2006
33bProvider typeInternal Medicine Physician
28Total paid$771K
24GClaims41,802
24DCodes billed59
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Internal Medicine Physician providers in New York
Rank by total paid#339 of 6,049
Median peer was paid$11K
This provider vs. median68×
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 | 5,105 | $101K | |
| 2019 | 8,847 | $169K | |
| 2020 | 7,034 | $151K | |
| 2021 | 10,383 | $269K | |
| 2022 | 2,448 | $27K | |
| 2023 | 5,416 | $26K | |
| 2024incomplete | 2,569 | $27K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 54% | 8,071 | 5,845 | $413K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 14% | 2,039 | 1,625 | $111K |
| 99442 | 5.5% | 904 | 742 | $43K | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 5.1% | 503 | 444 | $40K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 3.5% | 393 | 388 | $27K |
| 93000 | 3.5% | 2,329 | 2,214 | $27K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 2.6% | 276 | 251 | $20K |
| 99205 | Prolong outpt/office vis | 1.3% | 78 | 76 | $10K |
| 81002 | 1.1% | 6,331 | 4,795 | $9K | |
| 81025 | 1.0% | 1,607 | 1,264 | $8K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 771 | 521 | $7K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 287 | 259 | $7K |
47 more codes
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 288 | $4K |
| 93922 | <1% | 211 | $4K | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 39 | $4K |
| 82948 | <1% | 2,197 | $4K | |
| 90756 | <1% | 182 | $4K | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 29 | $3K |
| 99308 | Subsequent nursing facility care, per day, straightforward | <1% | 61 | $3K |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | <1% | 105 | $2K |
| 71045 | Radiologic examination, chest; single view | <1% | 127 | $2K |
| 82962 | <1% | 2,119 | $2K | |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 49 | $2K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 121 | $2K |
| 99441 | <1% | 190 | $2K | |
| 76700 | Ultrasound, abdominal, real time with image documentation; complete | <1% | 13 | $1K |
| 0013A | <1% | 30 | $1K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 3,188 | $1K |
| 95923 | <1% | 29 | $1K | |
| 82947 | <1% | 437 | $921.21 | |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | <1% | 69 | $876.46 |
| 0011A | <1% | 26 | $696.47 | |
| 94010 | <1% | 30 | $687.14 | |
| 0012A | <1% | 24 | $655.38 | |
| 87070 | <1% | 115 | $650.30 | |
| 95921 | <1% | 28 | $572.41 | |
| 82607 | <1% | 80 | $421.58 | |
| G0270 | Medical nutrition therapy; reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition or treatment regimen (including additional hours needed for renal disease), individual, face to face with the patient, each 15 minutes | <1% | 156 | $412.46 |
| G0444 | Annual depression screening, 5 to 15 minutes | <1% | 43 | $403.72 |
| 90688 | <1% | 26 | $269.57 | |
| J3420 | Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg | <1% | 244 | $244.53 |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 18 | $179.67 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | <1% | 32 | $127.27 |
| 89220 | <1% | 31 | $98.47 | |
| 94760 | <1% | 93 | $37.46 | |
| 1160F | <1% | 1,174 | $34.02 | |
| 3078F | <1% | 367 | $10.08 | |
| 3074F | <1% | 314 | $10.07 | |
| 3075F | <1% | 58 | $2.53 | |
| J7613 | Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg | <1% | 18 | $0.57 |
| 3008F | <1% | 3,152 | $0.46 | |
| 1159F | <1% | 900 | $0.01 | |
| 3079F | <1% | 56 | $0.01 | |
| 3725F | 0% | 198 | $0.00 | |
| 4035F | 0% | 456 | $0.00 | |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 30 | $0.00 |
| 3077F | 0% | 55 | $0.00 | |
| 1030F | 0% | 643 | $0.00 | |
| 99429 | 0% | 362 | $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.