Hirsch, Sheldon

Hirsch, Sheldon was paid $148K by Medicaid between Jan 2018 and Nov 2024, across 8 billing codes. Its largest line is 90960, End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits — 87% of everything it billed.

33Billing provider infoHIRSCH, SHELDON
CHICAGO, IL 60616

33aNPI1174509020assigned 12/21/2005

33bProvider typeNephrology Physician

28Total paid$148K

24GClaims3,315

24DCodes billed8

24AFirst – last monthJan 2018 – Nov 2024

Compared with peers

Next to other Nephrology Physician providers in Illinois

Rank by total paid#79 of 327

Median peer was paid$68K

This provider vs. median2.2×

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	587	$23K
2019	554	$29K
2020	606	$32K
2021	370	$19K
2022	512	$17K
2023	424	$14K
2024incomplete	262	$12K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
90960	End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits	87%	2,405	2,348	$129K
99215	Doctor's office visit, returning patient (complex)Prolong outpt/office vis	4.3%	134	123	$6K
99231	Subsequent hospital care, per day, straightforward or low complexity	3.0%	428	309	$4K
99232	Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity	2.2%	207	117	$3K
99223	Prolong inpt eval add15 m	1.5%	57	54	$2K
99222	Initial hospital care, per day, moderate complexity	1.3%	50	48	$2K
99233	Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m	<1%	21	12	$595.85
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	<1%	13	13	$192.57

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.