Physician
Ochoa Flores, Herberth
Ochoa Flores, Herberth was paid $410K by Medicaid between Mar 2020 and Dec 2024, across 25 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 52% of everything it billed.
33Billing provider infoOCHOA FLORES, HERBERTH
FORT WASHINGTON, MD 20744
FORT WASHINGTON, MD 20744
33aNPI1407217243assigned 03/07/2016
33bProvider typePediatrics Physician
28Total paid$410K
24GClaims9,994
24DCodes billed25
24AFirst – last monthMar 2020 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Maryland
Rank by total paid#126 of 306
Median peer was paid$206K
This provider vs. median2.0×
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 | 267 | $5K | |
| 2021 | 2,851 | $107K | |
| 2022 | 3,901 | $161K | |
| 2023 | 1,696 | $81K | |
| 2024incomplete | 1,279 | $56K |
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 | 52% | 2,359 | 2,098 | $214K |
| 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 | 25% | 861 | 798 | $104K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 3.2% | 122 | 122 | $13K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 3.0% | 978 | 941 | $12K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 2.8% | 104 | 104 | $11K |
| 92552 | 2.6% | 431 | 430 | $11K | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 1.8% | 69 | 64 | $7K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 1.6% | 804 | 350 | $7K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 1.6% | 56 | 56 | $6K |
| 94760 | 1.3% | 2,071 | 1,802 | $5K | |
| 90686 | 1.1% | 188 | 188 | $4K | |
| 92551 | <1% | 348 | 347 | $3K |
13 more codes
| 99177 | <1% | 515 | $3K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 32 | $2K |
| 96127 | <1% | 175 | $1K | |
| 81002 | <1% | 355 | $953.24 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 83 | $948.02 |
| 99173 | <1% | 265 | $668.20 | |
| 87807 | <1% | 54 | $583.19 | |
| 90656 | <1% | 25 | $582.00 | |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | <1% | 47 | $470.00 |
| 90698 | <1% | 12 | $279.36 | |
| 90734 | <1% | 12 | $256.08 | |
| W7000 | <1% | 12 | $56.54 | |
| 96160 | <1% | 16 | $44.32 |
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.