Merkler, Richard
Merkler, Richard was paid $513K by Medicaid between Jan 2018 and Apr 2024, across 19 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 51% of everything it billed.
33Billing provider infoMERKLER, RICHARD
NEW YORK, NY 10019
NEW YORK, NY 10019
33aNPI1134109754assigned 01/19/2006
33bProvider typeLegal Medicine
28Total paid$513K
24GClaims11,316
24DCodes billed19
24AFirst – last monthJan 2018 – Apr 2024
Compared with peers
Next to other Legal Medicine providers in New York
Rank by total paid#29 of 126
Median peer was paid$98K
This provider vs. median5.2×
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 | 1,726 | $70K | |
| 2019 | 2,489 | $96K | |
| 2020 | 2,067 | $95K | |
| 2021 | 1,826 | $96K | |
| 2022 | 1,557 | $76K | |
| 2023 | 1,332 | $63K | |
| 2024incomplete | 319 | $17K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 51% | 4,374 | 3,917 | $263K |
| 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 | 15% | 926 | 829 | $76K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 11% | 2,595 | 2,506 | $57K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 8.1% | 529 | 520 | $42K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 6.6% | 450 | 440 | $34K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 3.7% | 214 | 211 | $19K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 2.5% | 415 | 408 | $13K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 1.1% | 88 | 80 | $5K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 716 | 668 | $3K |
| 90686 | <1% | 611 | 599 | $620.49 | |
| 99051 | <1% | 136 | 130 | $499.26 | |
| 90672 | <1% | 160 | 159 | $326.08 |
7 more codes
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.