Physician
Hershkop, Joseph
Hershkop, Joseph was paid $16K by Medicaid between Jan 2018 and Dec 2020, across 10 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 50% of everything it billed.
33Billing provider infoHERSHKOP, JOSEPH
SARATOGA SPRINGS, UT 84045
SARATOGA SPRINGS, UT 84045
33aNPI1245418102assigned 02/03/2008
33bProvider typePediatrics Physician
28Total paid$16K
24GClaims905
24DCodes billed10
24AFirst – last monthJan 2018 – Dec 2020
Compared with peers
Next to other Pediatrics Physician providers in Utah
Rank by total paid#150 of 299
Median peer was paid$16K
This provider vs. median1.0×
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 | 394 | $7K | |
| 2019 | 191 | $1K | |
| 2020 | 320 | $8K |
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 | 50% | 116 | 111 | $8K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 14% | 342 | 333 | $2K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 12% | 27 | 26 | $2K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 7.0% | 12 | 12 | $1K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 5.5% | 13 | 13 | $889.62 |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 4.4% | 140 | 139 | $713.66 |
| 99177 | 4.0% | 98 | 97 | $643.83 | |
| 90686 | 2.3% | 59 | 59 | $377.52 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 85 | 84 | $158.28 |
| 90744 | <1% | 13 | 13 | $58.08 |
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.