Physician
Peralta Hernandez, Richard
Peralta Hernandez, Richard was paid $98K by Medicaid between Feb 2019 and Nov 2024, across 14 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 30% of everything it billed.
33Billing provider infoPERALTA HERNANDEZ, RICHARD
SPRING VALLEY, NY 10977
SPRING VALLEY, NY 10977
33aNPI1154690972assigned 12/22/2011
33bProvider typeHospitalist Physician
28Total paid$98K
24GClaims2,911
24DCodes billed14
24AFirst – last monthFeb 2019 – Nov 2024
Compared with peers
Next to other Hospitalist Physician providers in New York
Rank by total paid#15 of 614
Median peer was paid$2K
This provider vs. median42×
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 | |
|---|---|---|---|
| 2019 | 1,374 | $40K | |
| 2020 | 901 | $39K | |
| 2021 | 186 | $2K | |
| 2022 | 176 | $5K | |
| 2023 | 123 | $5K | |
| 2024incomplete | 151 | $9K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 30% | 943 | 782 | $29K |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | 25% | 333 | 332 | $25K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 20% | 738 | 715 | $19K |
| 93000 | 4.5% | 393 | 387 | $4K | |
| 93970 | 4.5% | 69 | 69 | $4K | |
| 93224 | 3.8% | 120 | 119 | $4K | |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 3.1% | 43 | 43 | $3K |
| 93923 | 2.4% | 54 | 54 | $2K | |
| 99442 | 2.0% | 43 | 41 | $2K | |
| 93925 | 1.9% | 25 | 25 | $2K | |
| 93880 | 1.7% | 34 | 34 | $2K | |
| 99443 | <1% | 13 | 13 | $905.09 |
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.