Clinic
Luis O Herrera
Luis O Herrera was paid $907K by Medicaid between Jan 2018 and Dec 2024, across 81 billing codes. Its largest line is 99212, Office or other outpatient visit for the evaluation and management of an established patient, straightforward — 21% of everything it billed.
33Billing provider infoLUIS O HERRERA
FREEPORT, NY 11520
FREEPORT, NY 11520
33aNPI1104167295assigned 03/14/2013
33bProvider typePrimary Care Clinic/Center
28Total paid$907K
24GClaims140,919
24DCodes billed81
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Primary Care Clinic/Center providers in New York
Rank by total paid#50 of 242
Median peer was paid$172K
This provider vs. median5.3×
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 | 11,610 | $253K | |
| 2019 | 8,412 | $183K | |
| 2020 | 6,139 | $135K | |
| 2021 | 24,030 | $191K | |
| 2022 | 35,160 | $57K | |
| 2023 | 27,686 | $47K | |
| 2024incomplete | 27,882 | $42K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 21% | 10,301 | 9,074 | $190K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 15% | 5,668 | 5,603 | $133K |
| 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% | 1,943 | 1,919 | $123K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 7.9% | 2,162 | 2,157 | $71K |
| 86480 | 7.3% | 1,920 | 1,917 | $66K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 6.7% | 2,125 | 2,116 | $61K |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | 3.9% | 3,055 | 2,959 | $36K |
| 92587 | 3.7% | 1,837 | 1,827 | $34K | |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 2.5% | 799 | 782 | $22K |
| 97802 | 2.4% | 8,687 | 8,310 | $21K | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 2.1% | 963 | 955 | $19K |
| 92081 | 1.9% | 1,075 | 1,073 | $17K |
69 more codes
| 36415 | Collection of venous blood by venipuncture | 1.5% | 7,800 | $14K |
| 99442 | 1.3% | 162 | $12K | |
| 86580 | 1.2% | 1,310 | $11K | |
| 90461 | 1.1% | 1,039 | $10K | |
| 81000 | <1% | 5,486 | $9K | |
| 83655 | <1% | 1,053 | $9K | |
| 99173 | <1% | 3,321 | $6K | |
| 87810 | <1% | 1,643 | $6K | |
| 0001A | <1% | 98 | $3K | |
| 0071A | <1% | 111 | $3K | |
| 0002A | <1% | 91 | $3K | |
| 92551 | <1% | 2,464 | $2K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 411 | $2K |
| 90733 | <1% | 225 | $2K | |
| H0001 | Alcohol and/or drug assessment | <1% | 3,453 | $2K |
| 85018 | <1% | 2,337 | $2K | |
| 87081 | <1% | 363 | $2K | |
| 0072A | <1% | 75 | $2K | |
| 90686 | <1% | 2,364 | $2K | |
| 94762 | <1% | 122 | $1K | |
| 87070 | <1% | 249 | $1K | |
| 90651 | <1% | 700 | $1K | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 53 | $1K |
| 36406 | <1% | 141 | $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 | <1% | 4,873 | $920.00 |
| 96127 | <1% | 1,479 | $782.19 | |
| 99441 | <1% | 16 | $752.16 | |
| 96160 | <1% | 2,769 | $722.90 | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 334 | $396.06 |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 85 | $354.79 |
| 90715 | <1% | 206 | $349.70 | |
| 90670 | <1% | 134 | $241.38 | |
| 90621 | <1% | 149 | $235.88 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 13 | $188.50 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 72 | $183.56 |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 4,233 | $172.08 |
| 94642 | <1% | 68 | $161.58 | |
| 90649 | <1% | 39 | $132.75 | |
| G9622 | Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method | <1% | 2,186 | $100.00 |
| G9275 | Documentation that patient is a current non-tobacco user | <1% | 3,125 | $96.00 |
| 90734 | <1% | 227 | $92.98 | |
| 90633 | <1% | 187 | $79.18 | |
| G9820 | Documentation of a chlamydia screening test with proper follow-up | <1% | 1,444 | $36.00 |
| 90680 | <1% | 25 | $35.00 | |
| 90658 | <1% | 171 | $26.44 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | <1% | 2,479 | $20.00 |
| S9451 | Exercise classes, non-physician provider, per session | <1% | 3,429 | $14.24 |
| 81002 | <1% | 151 | $11.48 | |
| A7004 | Small volume nonfiltered pneumatic nebulizer, disposable | <1% | 42 | $1.54 |
| G0432 | Infectious agent antibody detection by enzyme immunoassay (eia) technique, hiv-1 and/or hiv-2, screening | <1% | 119 | $0.02 |
| 91300 | <1% | 166 | $0.01 | |
| 3725F | 0% | 2,455 | $0.00 | |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 4,354 | $0.00 |
| 3016F | 0% | 2,337 | $0.00 | |
| 90685 | 0% | 40 | $0.00 | |
| A6413 | Adhesive bandage, first-aid type, any size, each | 0% | 640 | $0.00 |
| 90710 | 0% | 25 | $0.00 | |
| 2001F | 0% | 3,724 | $0.00 | |
| 1036F | 0% | 2,089 | $0.00 | |
| 2000F | 0% | 3,138 | $0.00 | |
| 90620 | 0% | 93 | $0.00 | |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 3,235 | $0.00 |
| 1000F | 0% | 2,327 | $0.00 | |
| 3008F | 0% | 7,660 | $0.00 | |
| 2010F | 0% | 4,063 | $0.00 | |
| 99000 | 0% | 746 | $0.00 | |
| 91307 | 0% | 35 | $0.00 | |
| 90744 | 0% | 93 | $0.00 | |
| 90657 | 0% | 38 | $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 officialHERRERA, LUIS (MD)
| Provider | Location | Paid |
|---|---|---|
| Laboratorio Clinico Santa Cruz Corp. | Trujillo Alto, PR | $644K |
| Comprehensive Dental Care | Inglewood, CA | $18K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.