Jerez, Jose

Jerez, Jose was paid $85K by Medicaid between Jan 2018 and Dec 2018, across 29 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 46% of everything it billed.

33Billing provider infoJEREZ, JOSE
NEW YORK, NY 10032

33aNPI1174582159assigned 03/20/2006

33bProvider typePediatric Emergency Medicine (Pediatrics) Physician

28Total paid$85K

24GClaims6,307

24DCodes billed29

24AFirst – last monthJan 2018 – Dec 2018

Compared with peers

Next to other Pediatric Emergency Medicine (Pediatrics) Physician providers in New York

Rank by total paid#10 of 40

Median peer was paid$3K

This provider vs. median29×

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	6,307	$85K

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	46%	1,087	968	$39K
90460	Immunization administration through 18 years of age via any route, first or only component	10%	254	252	$9K
G0439	Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	6.7%	223	223	$6K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	5.6%	221	211	$5K
G0270	Medical nutrition therapy; reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition or treatment regimen (including additional hours needed for renal disease), individual, face to face with the patient, each 15 minutes	5.6%	413	411	$5K
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	3.5%	213	213	$3K
99393	Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years)	3.1%	80	79	$3K
99173		3.0%	300	277	$3K
99394	Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years)	2.8%	90	90	$2K
92551		2.0%	463	432	$2K
99211	Office or other outpatient visit for the evaluation and management of an established patient, minimal severity	1.7%	107	101	$1K
90472	Immunization administration, each additional vaccine (list separately)	1.4%	40	40	$1K

17 more codes

G0445	High intensity behavioral counseling to prevent sexually transmitted infection; face-to-face, individual, includes: education, skills training and guidance on how to change sexual behavior; performed semi-annually, 30 minutes	1.0%	147	$855.57
87491	Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe	<1%	139	$727.43
99392	Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years)	<1%	15	$706.47
36415	Collection of venous blood by venipuncture	<1%	398	$641.65
99406		<1%	103	$622.49
85018		<1%	417	$606.06
90633		<1%	68	$495.00
99395	Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years	<1%	12	$489.17
H0001	Alcohol and/or drug assessment	<1%	108	$420.22
90686		<1%	188	$380.61
S9451	Exercise classes, non-physician provider, per session	<1%	315	$380.00
81002		<1%	361	$356.24
92587		<1%	18	$309.65
86580		<1%	31	$249.67
G8510	Screening for depression is documented as negative, a follow-up plan is not required	<1%	18	$31.20
H0002	Behavioral health screening to determine eligibility for admission to treatment program	<1%	75	$0.12
3008F		0%	403	$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.