Henken, Herbert

Henken, Herbert was paid $17K by Medicaid between Jan 2018 and Feb 2023, across 3 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 87% of everything it billed.

33Billing provider infoHENKEN, HERBERT
LONG BEACH, NY 11561

33aNPI1104827591assigned 08/09/2005

33bProvider typeOphthalmology Physician

28Total paid$17K

24GClaims291

24DCodes billed3

24AFirst – last monthJan 2018 – Feb 2023

Compared with peers

Next to other Ophthalmology Physician providers in New York

Rank by total paid#639 of 1,085

Median peer was paid$34K

This provider vs. median0.5×

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	95	$7K
2019	76	$4K
2020	78	$5K
2021	30	$254.22
2023	12	$883.28

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	87%	234	232	$15K
92004	Ophthalmological services: medical examination and evaluation, comprehensive, new patient	12%	27	27	$2K
99304		<1%	30	30	$95.12

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.