Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Herrera, Juan

Herrera, Juan was paid $300K by Medicaid between Jan 2018 and Apr 2023, across 5 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 96% of everything it billed.

33Billing provider infoHERRERA, JUAN
UNION, NJ 07083
33aNPI1194832766assigned 08/23/2006
28Total paid$300K
24GClaims6,348
24DCodes billed5
24AFirst – last monthJan 2018 – Apr 2023
Compared with peers

Next to other Family Medicine Physician providers in New Jersey

Rank by total paid#81 of 414
Median peer was paid$28K
This provider vs. median11×

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

$0$5.0K$10K$15K2018201920202021202220232024
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
YearClaimsPaid
20181,892$91K
20191,853$82K
20201,078$54K
2021605$30K
2022666$32K
2023254$12K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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 96% 4,895 4,412 $288K
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 2.4% 81 81 $7K
36415 Collection of venous blood by venipuncture <1% 1,318 1,312 $2K
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% 42 40 $1K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years <1% 12 12 $756.51

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.