Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

LUIS O HERRERA

NPI: 1104167295 · FREEPORT, NY 11520 · Primary Care Clinic/Center · NPI assigned 03/14/2013

$907K
Total Medicaid Paid
140,919
Total Claims
136,708
Beneficiaries
81
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialHERRERA, LUIS (MD)
NPI Enumeration Date03/14/2013

Related Entities

Other providers sharing the same authorized official: HERRERA, LUIS

ProviderCityStateTotal Paid
LABORATORIO CLINICO SANTA CRUZ CORP. TRUJILLO ALTO PR $644K
COMPREHENSIVE DENTAL CARE INGLEWOOD CA $18K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 11,610 $253K
2019 8,412 $183K
2020 6,139 $135K
2021 24,030 $191K
2022 35,160 $57K
2023 27,686 $47K
2024 27,882 $42K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 10,301 9,074 $190K
90460 Immunization administration through 18 years of age via any route, first or only component 5,668 5,603 $133K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,943 1,919 $123K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 2,162 2,157 $71K
86480 1,920 1,917 $66K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 2,125 2,116 $61K
G0447 Face-to-face behavioral counseling for obesity, 15 minutes 3,055 2,959 $36K
92587 1,837 1,827 $34K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 799 782 $22K
97802 8,687 8,310 $21K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 963 955 $19K
92081 1,075 1,073 $17K
36415 Collection of venous blood by venipuncture 7,800 7,465 $14K
99442 162 153 $12K
86580 1,310 1,309 $11K
90461 1,039 1,036 $10K
81000 5,486 5,467 $9K
83655 1,053 1,051 $9K
99173 3,321 3,310 $6K
87810 1,643 1,638 $6K
0001A 98 97 $3K
0071A 111 111 $3K
0002A 91 91 $3K
92551 2,464 2,454 $2K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 411 411 $2K
90733 225 225 $2K
H0001 Alcohol and/or drug assessment 3,453 3,306 $2K
85018 2,337 2,332 $2K
87081 363 362 $2K
0072A 75 75 $2K
90686 2,364 2,358 $2K
94762 122 121 $1K
87070 249 247 $1K
90651 700 699 $1K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 53 53 $1K
36406 141 139 $969.76
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 4,873 4,636 $920.00
96127 1,479 1,473 $782.19
99441 16 16 $752.16
96160 2,769 2,633 $722.90
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 334 326 $396.06
96110 Developmental screening, with scoring and documentation, per standardized instrument 85 85 $354.79
90715 206 205 $349.70
90670 134 134 $241.38
90621 149 149 $235.88
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 13 13 $188.50
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 72 70 $183.56
G8510 Screening for depression is documented as negative, a follow-up plan is not required 4,233 4,051 $172.08
94642 68 67 $161.58
90649 39 39 $132.75
G9622 Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method 2,186 2,062 $100.00
G9275 Documentation that patient is a current non-tobacco user 3,125 2,996 $96.00
90734 227 227 $92.98
90633 187 186 $79.18
G9820 Documentation of a chlamydia screening test with proper follow-up 1,444 1,432 $36.00
90680 25 25 $35.00
90658 171 171 $26.44
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 2,479 2,454 $20.00
S9451 Exercise classes, non-physician provider, per session 3,429 3,388 $14.24
81002 151 151 $11.48
A7004 Small volume nonfiltered pneumatic nebulizer, disposable 42 42 $1.54
G0432 Infectious agent antibody detection by enzyme immunoassay (eia) technique, hiv-1 and/or hiv-2, screening 119 118 $0.02
91300 166 152 $0.01
3725F 2,455 2,321 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 4,354 4,341 $0.00
3016F 2,337 2,204 $0.00
90685 40 40 $0.00
A6413 Adhesive bandage, first-aid type, any size, each 640 639 $0.00
90710 25 25 $0.00
2001F 3,724 3,665 $0.00
1036F 2,089 1,973 $0.00
2000F 3,138 3,111 $0.00
90620 93 93 $0.00
G8420 Bmi is documented within normal parameters and no follow-up plan is required 3,235 3,227 $0.00
1000F 2,327 2,198 $0.00
3008F 7,660 7,601 $0.00
2010F 4,063 3,859 $0.00
99000 746 744 $0.00
91307 35 34 $0.00
90744 93 92 $0.00
90657 38 38 $0.00