Herrera, Sarah Kay

Herrera, Sarah Kay was paid $923.69 by Medicaid between Jan 2018 and Jan 2023, across 7 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 74% of everything it billed.

33Billing provider infoHERRERA, SARAH KAY
LAGUNA HILLS, CA 92653

33aNPI1376800375assigned 04/13/2012

33bProvider typePediatrics Physician

28Total paid$923.69

24GClaims389

24DCodes billed7

24AFirst – last monthJan 2018 – Jan 2023

Compared with peers

Next to other Pediatrics Physician providers in California

Rank by total paid#1,097 of 1,490

Median peer was paid$15K

This provider vs. median0.1×

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	284	$304.86
2021	41	$197.60
2022	48	$283.16
2023	16	$138.07

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
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	74%	167	155	$678.97
96156		18%	16	16	$168.60
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	5.1%	51	51	$47.12
G9920	Screening performed and negative	3.1%	13	13	$29.00
90460	Immunization administration through 18 years of age via any route, first or only component	0%	12	12	$0.00
99050		0%	102	90	$0.00
94760		0%	28	24	$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.