Physician
Herron, Merinda
Herron, Merinda was paid $770K by Medicaid between Nov 2018 and Dec 2024, across 33 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 28% of everything it billed.
33Billing provider infoHERRON, MERINDA
ATLANTA, GA 30328
ATLANTA, GA 30328
33aNPI1295733269assigned 07/13/2005
33bProvider typePediatrics Physician
28Total paid$770K
24GClaims27,233
24DCodes billed33
24AFirst – last monthNov 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Georgia
Rank by total paid#60 of 220
Median peer was paid$57K
This provider vs. median13×
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 | 12 | $241.88 | |
| 2019 | 2,283 | $62K | |
| 2020 | 4,783 | $120K | |
| 2021 | 7,002 | $176K | |
| 2022 | 6,113 | $178K | |
| 2023 | 4,609 | $151K | |
| 2024incomplete | 2,431 | $82K |
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 | 28% | 3,213 | 3,071 | $218K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 13% | 1,888 | 1,777 | $104K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 11% | 1,411 | 1,393 | $87K |
| 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 | 10% | 819 | 796 | $81K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 9.8% | 2,181 | 2,092 | $75K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 9.4% | 3,496 | 3,416 | $73K |
| 90472 | Immunization administration, each additional vaccine (list separately) | 7.2% | 2,497 | 2,462 | $56K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 3.0% | 268 | 265 | $23K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 2.1% | 1,752 | 1,185 | $16K |
| 99429 | 1.7% | 1,350 | 889 | $13K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 1.2% | 103 | 102 | $9K |
| 99381 | <1% | 112 | 108 | $7K |
21 more codes
| 81002 | <1% | 1,036 | $3K | |
| 92568 | <1% | 232 | $2K | |
| 97802 | <1% | 867 | $745.14 | |
| 96127 | <1% | 106 | $618.98 | |
| 85018 | <1% | 161 | $441.39 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 12 | $189.96 |
| 83655 | <1% | 27 | $180.02 | |
| 96161 | <1% | 200 | $128.05 | |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | <1% | 30 | $15.00 |
| 36416 | <1% | 144 | $7.80 | |
| 90680 | 0% | 912 | $0.00 | |
| 90698 | 0% | 1,230 | $0.00 | |
| 90716 | 0% | 236 | $0.00 | |
| 90744 | 0% | 491 | $0.00 | |
| 90686 | 0% | 197 | $0.00 | |
| 90677 | 0% | 93 | $0.00 | |
| 90697 | 0% | 41 | $0.00 | |
| 90696 | 0% | 12 | $0.00 | |
| 90670 | 0% | 1,397 | $0.00 | |
| 90633 | 0% | 483 | $0.00 | |
| 90707 | 0% | 236 | $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.