Hernandez, Hector

Hernandez, Hector was paid $265K by Medicaid between Feb 2018 and Oct 2024, across 5 billing codes. Its largest line is 99244, Office or other outpatient consultation, moderate to high complexity — 72% of everything it billed.

33Billing provider infoHERNANDEZ, HECTOR
PARK RIDGE, IL 60068

33aNPI1235103110assigned 02/15/2006

33bProvider typePediatric Gastroenterology Physician

28Total paid$265K

24GClaims2,229

24DCodes billed5

24AFirst – last monthFeb 2018 – Oct 2024

Compared with peers

Next to other Pediatric Gastroenterology Physician providers in Illinois

Rank by total paid#9 of 45

Median peer was paid$57K

This provider vs. median4.6×

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	284	$26K
2019	321	$31K
2020	215	$30K
2021	287	$36K
2022	371	$48K
2023	391	$50K
2024incomplete	360	$44K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99244	Office or other outpatient consultation, moderate to high complexity	72%	1,365	1,239	$192K
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	18%	630	590	$47K
43239	Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple	4.8%	60	52	$13K
99215	Doctor's office visit, returning patient (complex)Prolong outpt/office vis	3.2%	114	112	$8K
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	1.8%	60	60	$5K

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.