Physician
Henry, Lernice
Henry, Lernice was paid $518K by Medicaid between Jan 2018 and Mar 2024, across 28 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 44% of everything it billed.
33Billing provider infoHENRY, LERNICE
MIDDLETOWN, NY 10941
MIDDLETOWN, NY 10941
33aNPI1407874563assigned 07/17/2006
33bProvider typePediatrics Physician
28Total paid$518K
24GClaims7,542
24DCodes billed28
24AFirst – last monthJan 2018 – Mar 2024
Compared with peers
Next to other Pediatrics Physician providers in New York
Rank by total paid#407 of 1,983
Median peer was paid$17K
This provider vs. median31×
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 | 128 | $9K | |
| 2019 | 1,281 | $65K | |
| 2020 | 1,342 | $77K | |
| 2021 | 2,100 | $170K | |
| 2022 | 2,304 | $170K | |
| 2023 | 372 | $26K | |
| 2024incomplete | 15 | $968.23 |
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 | 44% | 2,524 | 2,329 | $227K |
| 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 | 19% | 800 | 751 | $96K |
| 87636 | Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B | 9.4% | 360 | 354 | $48K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 8.1% | 365 | 365 | $42K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 6.2% | 1,371 | 1,332 | $32K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 6.1% | 295 | 283 | $31K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 3.2% | 146 | 146 | $17K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 2.9% | 119 | 119 | $15K |
| 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% | 33 | 33 | $2K |
| 92551 | <1% | 223 | 222 | $1K | |
| 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% | 46 | 46 | $1K |
| 87634 | <1% | 14 | 13 | $982.80 |
16 more codes
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | <1% | 26 | $854.87 |
| 96127 | <1% | 126 | $679.29 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 15 | $496.50 |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 26 | $289.74 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 18 | $271.98 |
| 85018 | <1% | 102 | $234.63 | |
| 83655 | <1% | 12 | $145.32 | |
| 90686 | <1% | 358 | $128.16 | |
| 87070 | <1% | 14 | $120.68 | |
| 96160 | <1% | 72 | $3.08 | |
| 90670 | 0% | 93 | $0.00 | |
| 99173 | 0% | 14 | $0.00 | |
| 99080 | 0% | 228 | $0.00 | |
| 90734 | 0% | 12 | $0.00 | |
| 90698 | 0% | 12 | $0.00 | |
| 36416 | 0% | 118 | $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.