Hertel, Lauren

Hertel, Lauren was paid $3K by Medicaid between Jun 2021 and Aug 2024, across 4 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 56% of everything it billed.

33Billing provider infoHERTEL, LAUREN
BUTLER, PA 16001

33aNPI1144753328assigned 04/05/2017

33bProvider typeInternal Medicine Physician

28Total paid$3K

24GClaims145

24DCodes billed4

24AFirst – last monthJun 2021 – Aug 2024

Compared with peers

Next to other Internal Medicine Physician providers in Pennsylvania

Rank by total paid#1,083 of 1,726

Median peer was paid$6K

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
2021	29	$924.00
2023	52	$1K
2024incomplete	64	$903.35

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	56%	57	54	$2K
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	44%	37	37	$1K
G8510	Screening for depression is documented as negative, a follow-up plan is not required	0%	24	24	$0.00
G8417	Bmi is documented above normal parameters and a follow-up plan is documented	0%	27	27	$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.