Herman, Jay

Herman, Jay was paid $33K by Medicaid between Dec 2020 and Nov 2024, across 5 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 40% of everything it billed.

33Billing provider infoHERMAN, JAY
PITTSBURGH, PA 15232

33aNPI1477574234assigned 07/21/2006

33bProvider typeUrology Physician

28Total paid$33K

24GClaims1,907

24DCodes billed5

24AFirst – last monthDec 2020 – Nov 2024

Compared with peers

Next to other Urology Physician providers in Pennsylvania

Rank by total paid#30 of 134

Median peer was paid$3K

This provider vs. median10×

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	50	$786.99
2021	439	$8K
2022	527	$10K
2023	509	$9K
2024incomplete	382	$6K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
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	40%	277	254	$13K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	30%	328	309	$10K
51798		22%	634	608	$7K
81002		6.6%	656	603	$2K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	1.8%	12	12	$601.58

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.