Physician
Herman, Jonathan
Herman, Jonathan was paid $108K by Medicaid between Jan 2018 and Sep 2024, across 13 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 45% of everything it billed.
33Billing provider infoHERMAN, JONATHAN
LAKE SUCCESS, NY 11042
LAKE SUCCESS, NY 11042
33aNPI1255305538assigned 02/14/2006
33bProvider typeObstetrics & Gynecology Physician
28Total paid$108K
24GClaims2,931
24DCodes billed13
24AFirst – last monthJan 2018 – Sep 2024
Compared with peers
Next to other Obstetrics & Gynecology Physician providers in New York
Rank by total paid#256 of 762
Median peer was paid$22K
This provider vs. median5.0×
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 | 821 | $15K | |
| 2019 | 1,431 | $65K | |
| 2020 | 55 | $4K | |
| 2021 | 71 | $3K | |
| 2022 | 81 | $3K | |
| 2023 | 207 | $8K | |
| 2024incomplete | 265 | $9K |
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 | 45% | 901 | 803 | $48K |
| 59400 | Routine obstetric care including antepartum care, vaginal delivery, and postpartum care | 28% | 15 | 15 | $30K |
| 76830 | Ultrasound, transvaginal | 14% | 301 | 281 | $15K |
| 59426 | 4.9% | 14 | 14 | $5K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 2.9% | 48 | 48 | $3K |
| 76815 | Ultrasound, pregnant uterus, real time with image documentation, limited | 1.6% | 37 | 36 | $2K |
| 81002 | 1.6% | 814 | 765 | $2K | |
| 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 | 1.2% | 13 | 13 | $1K |
| 36415 | Collection of venous blood by venipuncture | <1% | 676 | 645 | $833.75 |
| 59025 | Fetal non-stress test | <1% | 24 | 12 | $460.64 |
| Q0091 | Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory | <1% | 12 | 12 | $60.87 |
| 84703 | <1% | 13 | 13 | $56.94 |
1 more codes
| A4558 | Conductive gel or paste, for use with electrical device (e.g., tens, nmes), per oz | 0% | 63 | $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.