Physician
Hernandez, Milagros
Hernandez, Milagros was paid $124K by Medicaid between Jan 2018 and Oct 2024, across 19 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 65% of everything it billed.
33Billing provider infoHERNANDEZ, MILAGROS
ASTORIA, NY 11103
ASTORIA, NY 11103
33aNPI1295772812assigned 06/01/2006
33bProvider typeRheumatology Physician
28Total paid$124K
24GClaims7,043
24DCodes billed19
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers
Next to other Rheumatology Physician providers in New York
Rank by total paid#38 of 199
Median peer was paid$15K
This provider vs. median8.1×
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 | 1,204 | $19K | |
| 2019 | 1,445 | $20K | |
| 2020 | 1,868 | $30K | |
| 2021 | 1,971 | $39K | |
| 2022 | 94 | $2K | |
| 2023 | 221 | $6K | |
| 2024incomplete | 240 | $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 | 65% | 1,894 | 1,761 | $80K |
| 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 | 16% | 294 | 291 | $19K |
| 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 | 14% | 158 | 158 | $18K |
| 99442 | 1.5% | 43 | 42 | $2K | |
| 77080 | 1.4% | 66 | 66 | $2K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 1,444 | 1,412 | $940.94 |
| 96127 | <1% | 200 | 200 | $748.64 | |
| 90756 | <1% | 25 | 25 | $460.04 | |
| 93000 | <1% | 40 | 40 | $419.29 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 12 | 12 | $293.01 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | <1% | 1,127 | 996 | $203.00 |
| G0008 | Administration of influenza virus vaccine | <1% | 17 | 17 | $60.00 |
7 more codes
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.