NP / PA
Herrera, Mary Kathleen
Herrera, Mary Kathleen was paid $582K by Medicaid between Aug 2020 and Dec 2022, across 35 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 35% of everything it billed.
33Billing provider infoHERRERA, MARY KATHLEEN
PORT ARTHUR, TX 77642
PORT ARTHUR, TX 77642
33aNPI1467906503assigned 08/05/2016
33bProvider typeFamily Nurse Practitioner
28Total paid$582K
24GClaims24,582
24DCodes billed35
24AFirst – last monthAug 2020 – Dec 2022
Compared with peers
Next to other Family Nurse Practitioner providers in Texas
Rank by total paid#26 of 344
Median peer was paid$14K
This provider vs. median42×
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 | 3,174 | $75K | |
| 2021 | 11,536 | $278K | |
| 2022 | 9,872 | $229K |
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 | 35% | 4,930 | 4,227 | $204K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 12% | 1,082 | 1,067 | $72K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 12% | 1,893 | 1,859 | $69K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 9.4% | 780 | 763 | $55K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 8.5% | 752 | 742 | $49K |
| 99188 | 5.2% | 2,540 | 2,510 | $30K | |
| 90472 | Immunization administration, each additional vaccine (list separately) | 4.3% | 825 | 811 | $25K |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | 4.2% | 2,514 | 2,482 | $25K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 3.0% | 301 | 291 | $17K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 2.0% | 220 | 209 | $11K |
| 92587 | 1.4% | 2,431 | 2,397 | $8K | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 1.1% | 189 | 187 | $7K |
23 more codes
| 99383 | <1% | 31 | $2K | |
| 94010 | <1% | 59 | $1K | |
| 99384 | <1% | 15 | $1K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 65 | $1K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 124 | $877.00 |
| 99382 | <1% | 12 | $825.66 | |
| 99401 | <1% | 305 | $631.44 | |
| 90710 | <1% | 120 | $461.74 | |
| 90670 | <1% | 299 | $318.50 | |
| 90651 | <1% | 258 | $243.95 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 44 | $241.12 |
| 99173 | <1% | 785 | $225.06 | |
| 81002 | <1% | 138 | $110.93 | |
| 90734 | <1% | 255 | $87.58 | |
| 90686 | <1% | 674 | $71.61 | |
| 69210 | <1% | 16 | $61.68 | |
| 97802 | 0% | 2,380 | $0.00 | |
| 90698 | 0% | 168 | $0.00 | |
| 90744 | 0% | 123 | $0.00 | |
| 99000 | 0% | 55 | $0.00 | |
| 90633 | 0% | 137 | $0.00 | |
| 90715 | 0% | 48 | $0.00 | |
| 90621 | 0% | 14 | $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.