Raphael, Herline

Raphael, Herline was paid $236K by Medicaid between Sep 2022 and Nov 2024, across 3 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 61% of everything it billed.

33Billing provider infoRAPHAEL, HERLINE
STROUDSBURG, PA 18360

33aNPI1326584046assigned 01/19/2017

33bProvider typeNurse Practitioner

28Total paid$236K

24GClaims7,795

24DCodes billed3

24AFirst – last monthSep 2022 – Nov 2024

Compared with peers

Next to other Nurse Practitioner providers in Pennsylvania

Rank by total paid#22 of 372

Median peer was paid$7K

This provider vs. median34×

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
2022	1,234	$19K
2023	2,834	$68K
2024incomplete	3,727	$148K

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	61%	3,881	3,216	$144K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	38%	3,862	3,807	$90K
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	<1%	52	52	$2K

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.