Physician
Hernandez, Nelson
Hernandez, Nelson was paid $133K by Medicaid between Jan 2018 and Nov 2024, across 4 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 94% of everything it billed.
33Billing provider infoHERNANDEZ, NELSON
MIAMI, FL 33155
MIAMI, FL 33155
33aNPI1285625079assigned 11/02/2005
33bProvider typePsychiatry Physician
28Total paid$133K
24GClaims6,232
24DCodes billed4
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Psychiatry Physician providers in Florida
Rank by total paid#83 of 267
Median peer was paid$28K
This provider vs. median4.8×
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 | 470 | $109.59 | |
| 2019 | 1,192 | $31K | |
| 2020 | 1,099 | $28K | |
| 2021 | 688 | $20K | |
| 2022 | 630 | $17K | |
| 2023 | 1,207 | $20K | |
| 2024incomplete | 946 | $17K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 94% | 2,551 | 2,222 | $125K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 4.7% | 2,916 | 2,097 | $6K |
| 99442 | <1% | 477 | 301 | $1K | |
| 99441 | <1% | 288 | 186 | $189.34 |
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.