Physician
Herrera-Acevedo, Luis
Herrera-Acevedo, Luis was paid $698K by Medicaid between Jan 2018 and Dec 2024, across 101 billing codes. Its largest line is 99212, Office or other outpatient visit for the evaluation and management of an established patient, straightforward — 21% of everything it billed.
33Billing provider infoHERRERA-ACEVEDO, LUIS
FREEPORT, NY 11520
FREEPORT, NY 11520
33aNPI1437140761assigned 11/04/2005
33bProvider typePediatrics Physician
28Total paid$698K
24GClaims200,365
24DCodes billed101
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in New York
Rank by total paid#351 of 1,983
Median peer was paid$17K
This provider vs. median41×
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 | 25,828 | $305K | |
| 2019 | 31,339 | $202K | |
| 2020 | 27,623 | $56K | |
| 2021 | 39,844 | $59K | |
| 2022 | 9,640 | $20K | |
| 2023 | 38,210 | $26K | |
| 2024incomplete | 27,881 | $31K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 21% | 17,612 | 15,226 | $146K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 15% | 5,286 | 5,235 | $106K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 14% | 11,186 | 11,033 | $96K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 8.0% | 4,188 | 4,176 | $56K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 6.5% | 3,940 | 3,929 | $45K |
| 92587 | 5.3% | 5,124 | 5,093 | $37K | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 3.6% | 1,925 | 1,914 | $25K |
| 86580 | 2.3% | 4,269 | 4,252 | $16K | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 2.2% | 5,806 | 5,633 | $16K |
| 92081 | 2.0% | 2,214 | 2,209 | $14K | |
| 92551 | 1.9% | 2,301 | 2,291 | $13K | |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 1.9% | 745 | 729 | $13K |
89 more codes
| 99203 | Doctor's office visit, new patient (routine) | 1.6% | 362 | $11K |
| 0001A | 1.6% | 282 | $11K | |
| 0002A | 1.4% | 241 | $10K | |
| 86480 | 1.3% | 4,111 | $9K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 1.0% | 859 | $7K |
| 81000 | <1% | 9,572 | $7K | |
| 0071A | <1% | 128 | $5K | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 440 | $5K |
| 90686 | <1% | 4,758 | $5K | |
| 0072A | <1% | 105 | $4K | |
| 83655 | <1% | 2,558 | $4K | |
| G0270 | Medical nutrition therapy; reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition or treatment regimen (including additional hours needed for renal disease), individual, face to face with the patient, each 15 minutes | <1% | 6,121 | $4K |
| 99442 | <1% | 663 | $4K | |
| 99441 | <1% | 123 | $3K | |
| 87081 | <1% | 1,233 | $3K | |
| H0001 | Alcohol and/or drug assessment | <1% | 6,646 | $3K |
| 90715 | <1% | 991 | $2K | |
| 90651 | <1% | 1,473 | $2K | |
| 36406 | <1% | 912 | $2K | |
| 87810 | <1% | 3,386 | $2K | |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | <1% | 2,933 | $2K |
| 90734 | <1% | 985 | $2K | |
| 97802 | <1% | 10,059 | $1K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 294 | $1K |
| 90649 | <1% | 202 | $870.70 | |
| 90621 | <1% | 224 | $856.50 | |
| 90744 | <1% | 683 | $732.88 | |
| 90633 | <1% | 1,040 | $699.34 | |
| 0052A | <1% | 16 | $652.65 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 13,762 | $645.90 |
| 90620 | <1% | 58 | $500.00 | |
| 85018 | <1% | 2,946 | $328.10 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 171 | $305.90 |
| 94762 | <1% | 392 | $291.99 | |
| 90658 | <1% | 389 | $282.32 | |
| 90713 | <1% | 180 | $272.48 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 45 | $263.05 |
| 99173 | <1% | 3,689 | $141.46 | |
| 90733 | <1% | 316 | $112.50 | |
| 87070 | <1% | 807 | $95.73 | |
| 90685 | <1% | 419 | $81.36 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 14 | $78.85 |
| 96160 | <1% | 2,642 | $65.36 | |
| 90670 | <1% | 1,033 | $60.00 | |
| 90716 | <1% | 26 | $48.00 | |
| 90461 | <1% | 791 | $45.00 | |
| 90647 | <1% | 296 | $30.00 | |
| 90657 | <1% | 82 | $30.00 | |
| 90672 | <1% | 20 | $26.88 | |
| 90680 | <1% | 499 | $15.00 | |
| 81002 | <1% | 249 | $6.96 | |
| 96127 | <1% | 1,426 | $6.45 | |
| S9451 | Exercise classes, non-physician provider, per session | <1% | 4,618 | $0.04 |
| 91307 | <1% | 48 | $0.01 | |
| 3008F | <1% | 3,814 | $0.01 | |
| G0432 | Infectious agent antibody detection by enzyme immunoassay (eia) technique, hiv-1 and/or hiv-2, screening | <1% | 375 | $0.01 |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 7,486 | $0.00 |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 0% | 275 | $0.00 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 3,981 | $0.00 |
| G9820 | Documentation of a chlamydia screening test with proper follow-up | 0% | 2,145 | $0.00 |
| A6413 | Adhesive bandage, first-aid type, any size, each | 0% | 998 | $0.00 |
| G9622 | Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method | 0% | 2,881 | $0.00 |
| 99080 | 0% | 1,523 | $0.00 | |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | 0% | 48 | $0.00 |
| 90710 | 0% | 508 | $0.00 | |
| G9276 | Documentation that patient is a current tobacco user | 0% | 34 | $0.00 |
| 3725F | 0% | 236 | $0.00 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 0% | 15 | $0.00 |
| 91300 | 0% | 306 | $0.00 | |
| 90700 | 0% | 54 | $0.00 | |
| 3016F | 0% | 221 | $0.00 | |
| 90671 | 0% | 13 | $0.00 | |
| 94642 | 0% | 12 | $0.00 | |
| 4004F | 0% | 22 | $0.00 | |
| 90707 | 0% | 12 | $0.00 | |
| G9275 | Documentation that patient is a current non-tobacco user | 0% | 6,118 | $0.00 |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 5,782 | $0.00 |
| 90696 | 0% | 106 | $0.00 | |
| 2010F | 0% | 245 | $0.00 | |
| 90698 | 0% | 260 | $0.00 | |
| 1000F | 0% | 233 | $0.00 | |
| G8418 | Bmi is documented below normal parameters and a follow-up plan is documented | 0% | 25 | $0.00 |
| 2001F | 0% | 231 | $0.00 | |
| 99000 | 0% | 1,111 | $0.00 | |
| 1036F | 0% | 205 | $0.00 | |
| 2000F | 0% | 101 | $0.00 | |
| 90677 | 0% | 12 | $0.00 | |
| A4930 | Gloves, sterile, per pair | 0% | 51 | $0.00 |
| 90723 | 0% | 12 | $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.