Hernandez Guzman, Michelle

Hernandez Guzman, Michelle was paid $3K by Medicaid between Nov 2020 and Dec 2020, across 3 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 61% of everything it billed.

33Billing provider infoHERNANDEZ GUZMAN, MICHELLE
ROSLYN HEIGHTS, NY 11577

33aNPI1386179521assigned 04/25/2017

33bProvider typeInternal Medicine Physician

28Total paid$3K

24GClaims157

24DCodes billed3

24AFirst – last monthNov 2020 – Dec 2020

Compared with peers

Next to other Internal Medicine Physician providers in New York

Rank by total paid#4,163 of 6,049

Median peer was paid$11K

This provider vs. median0.3×

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
2020	157	$3K

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%	55	49	$2K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	39%	23	21	$1K
87635	Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe	0%	79	63	$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.