Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

HERRERA-ACEVEDO, LUIS

NPI: 1437140761 · FREEPORT, NY 11520 · Pediatrics Physician

$698K
Total Medicaid Paid
200,365
Total Claims
193,541
Beneficiaries
101
Codes Billed
2018-01
First Month
2024-12
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal 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
2024 27,881 $31K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99212 17,612 15,226 $146K
99213 5,286 5,235 $106K
90460 11,186 11,033 $96K
99393 4,188 4,176 $56K
99394 3,940 3,929 $45K
92587 5,124 5,093 $37K
99392 1,925 1,914 $25K
86580 4,269 4,252 $16K
G8510 Screening for depression is documented as negative, a follow-up plan is not required 5,806 5,633 $16K
92081 2,214 2,209 $14K
92551 2,301 2,291 $13K
87635 745 729 $13K
99203 362 359 $11K
0001A 282 279 $11K
0002A 241 240 $10K
86480 4,111 4,103 $9K
99395 859 854 $7K
81000 9,572 9,517 $7K
0071A 128 128 $5K
94640 440 412 $5K
90686 4,758 4,738 $5K
0072A 105 104 $4K
83655 2,558 2,544 $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 6,121 5,816 $4K
99442 663 644 $4K
99441 123 114 $3K
87081 1,233 1,215 $3K
H0001 Alcohol and/or drug assessment 6,646 6,447 $3K
90715 991 988 $2K
90651 1,473 1,468 $2K
36406 912 873 $2K
87810 3,386 3,375 $2K
G0447 Face-to-face behavioral counseling for obesity, 15 minutes 2,933 2,840 $2K
90734 985 982 $2K
97802 10,059 9,594 $1K
90471 294 290 $1K
90649 202 202 $870.70
90621 224 224 $856.50
90744 683 676 $732.88
90633 1,040 1,033 $699.34
0052A 16 16 $652.65
36415 13,762 13,064 $645.90
90620 58 58 $500.00
85018 2,946 2,935 $328.10
96110 171 168 $305.90
94762 392 370 $291.99
90658 389 387 $282.32
90713 180 180 $272.48
87804 45 45 $263.05
99173 3,689 3,672 $141.46
90733 316 316 $112.50
87070 807 797 $95.73
90685 419 416 $81.36
90472 14 14 $78.85
96160 2,642 2,515 $65.36
90670 1,033 1,030 $60.00
90716 26 24 $48.00
90461 791 789 $45.00
90647 296 296 $30.00
90657 82 82 $30.00
90672 20 20 $26.88
90680 499 499 $15.00
81002 249 248 $6.96
96127 1,426 1,422 $6.45
S9451 Exercise classes, non-physician provider, per session 4,618 4,526 $0.04
91307 48 47 $0.01
3008F 3,814 3,801 $0.01
G0432 Infectious agent antibody detection by enzyme immunoassay (eia) technique, hiv-1 and/or hiv-2, screening 375 373 $0.01
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 7,486 7,450 $0.00
99391 275 267 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 3,981 3,920 $0.00
G9820 Documentation of a chlamydia screening test with proper follow-up 2,145 2,132 $0.00
A6413 Adhesive bandage, first-aid type, any size, each 998 995 $0.00
G9622 Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method 2,881 2,731 $0.00
99080 1,523 437 $0.00
G8431 Screening for depression is documented as being positive and a follow-up plan is documented 48 48 $0.00
90710 508 505 $0.00
G9276 Documentation that patient is a current tobacco user 34 34 $0.00
3725F 236 234 $0.00
99211 15 15 $0.00
91300 306 277 $0.00
90700 54 54 $0.00
3016F 221 219 $0.00
90671 13 13 $0.00
94642 12 12 $0.00
4004F 22 22 $0.00
90707 12 12 $0.00
G9275 Documentation that patient is a current non-tobacco user 6,118 5,942 $0.00
G8420 Bmi is documented within normal parameters and no follow-up plan is required 5,782 5,759 $0.00
90696 106 105 $0.00
2010F 245 237 $0.00
90698 260 260 $0.00
1000F 233 231 $0.00
G8418 Bmi is documented below normal parameters and a follow-up plan is documented 25 25 $0.00
2001F 231 231 $0.00
99000 1,111 1,106 $0.00
1036F 205 203 $0.00
2000F 101 101 $0.00
90677 12 12 $0.00
A4930 Gloves, sterile, per pair 51 51 $0.00
90723 12 12 $0.00