Physician
Petersel, Hilary
Petersel, Hilary was paid $1.46M by Medicaid between Jan 2018 and May 2023, across 39 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 32% of everything it billed.
33Billing provider infoPETERSEL, HILARY
HAVERSTRAW, NY 10927
HAVERSTRAW, NY 10927
33aNPI1336216613assigned 11/29/2006
33bProvider typePediatrics Physician
28Total paid$1.46M
24GClaims19,946
24DCodes billed39
24AFirst – last monthJan 2018 – May 2023
Compared with peers
Next to other Pediatrics Physician providers in New York
Rank by total paid#220 of 1,983
Median peer was paid$17K
This provider vs. median86×
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 | 307 | $24K | |
| 2019 | 2,493 | $124K | |
| 2020 | 5,067 | $294K | |
| 2021 | 5,862 | $500K | |
| 2022 | 5,724 | $472K | |
| 2023 | 493 | $48K |
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 | 32% | 4,331 | 3,936 | $462K |
| 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 | 30% | 3,152 | 2,938 | $438K |
| 87636 | Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B | 10% | 1,059 | 1,047 | $151K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 7.5% | 797 | 797 | $110K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 6.9% | 801 | 801 | $101K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 3.3% | 384 | 384 | $49K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 2.7% | 2,168 | 2,123 | $39K |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | 1.5% | 632 | 623 | $22K |
| U0003 | Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r | 1.1% | 209 | 206 | $16K |
| 87631 | <1% | 59 | 59 | $8K | |
| 80050 | General health panel | <1% | 192 | 192 | $8K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 493 | 487 | $8K |
27 more codes
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 198 | $6K |
| 96127 | <1% | 959 | $6K | |
| 87591 | Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe | <1% | 153 | $5K |
| 87491 | Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe | <1% | 153 | $5K |
| U0005 | Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, cdc or non-cdc, making use of high throughput technologies, completed within 2 calendar days from date of specimen collection (list separately in addition to either hcpcs code u0003 or u0004) as described by cms-2020-01-r2 | <1% | 186 | $5K |
| 99383 | <1% | 28 | $4K | |
| 87070 | <1% | 357 | $3K | |
| 99441 | <1% | 48 | $3K | |
| 80061 | Lipid panel | <1% | 173 | $2K |
| 99384 | <1% | 14 | $2K | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 185 | $2K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 13 | $2K |
| 99442 | <1% | 14 | $1K | |
| 90686 | <1% | 911 | $676.94 | |
| 92551 | <1% | 745 | $464.07 | |
| 83655 | <1% | 28 | $336.56 | |
| 90716 | <1% | 57 | $153.87 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 138 | $117.00 |
| 85018 | <1% | 34 | $80.02 | |
| 96160 | <1% | 728 | $46.37 | |
| 90715 | <1% | 27 | $45.31 | |
| 90651 | 0% | 95 | $0.00 | |
| 36416 | 0% | 35 | $0.00 | |
| 90633 | 0% | 63 | $0.00 | |
| 90734 | 0% | 122 | $0.00 | |
| 90670 | 0% | 40 | $0.00 | |
| 99173 | 0% | 165 | $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.