Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Fernandez, Susan

Fernandez, Susan was paid $601K by Medicaid between Jan 2018 and Dec 2018, across 56 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 25% of everything it billed.

33Billing provider infoFERNANDEZ, SUSAN
HENDERSON, NV 89052
33aNPI1477669885assigned 08/21/2006
33bProvider typePediatrics Physician
28Total paid$601K
24GClaims31,600
24DCodes billed56
24AFirst – last monthJan 2018 – Dec 2018
Compared with peers

Next to other Pediatrics Physician providers in Nevada

Rank by total paid#60 of 267
Median peer was paid$116K
This provider vs. median5.2×

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

$0$25K$50K$75K2018201920202021202220232024
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
YearClaimsPaid
201831,600$601K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 25% 2,313 1,880 $150K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 14% 880 847 $84K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 11% 725 630 $64K
90460 Immunization administration through 18 years of age via any route, first or only component 10% 1,462 1,383 $61K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 7.7% 477 466 $46K
92567 5.5% 2,797 2,397 $33K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 4.8% 270 268 $29K
D1206 Topical application of fluoride varnish 3.5% 1,079 1,068 $21K
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 3.2% 224 213 $19K
99188 2.1% 1,085 1,074 $13K
96110 Developmental screening, with scoring and documentation, per standardized instrument 1.9% 1,663 1,594 $11K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 1.7% 1,053 950 $10K
44 more codes
99058 1.7% 572 $10K
92587 1.6% 1,200 $10K
G0447 Face-to-face behavioral counseling for obesity, 15 minutes 1.5% 413 $9K
87070 1.3% 1,066 $8K
36416 <1% 858 $4K
85018 <1% 1,582 $3K
94760 <1% 2,582 $3K
99383 <1% 26 $3K
97802 <1% 445 $3K
85014 <1% 1,582 $2K
99384 <1% 12 $1K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type <1% 48 $941.60
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction <1% 55 $822.99
89190 <1% 147 $565.50
94664 <1% 70 $477.12
81002 <1% 174 $332.47
87807 <1% 20 $192.96
A7004 Small volume nonfiltered pneumatic nebulizer, disposable <1% 55 $45.36
96160 <1% 15 $40.08
J7699 Noc drugs, inhalation solution administered through dme <1% 27 $18.40
V5008 Hearing screening <1% 1,200 $5.32
99000 <1% 1,196 $2.18
99001 <1% 1,203 $1.45
J7609 Albuterol, inhalation solution, compounded product, administered through dme, unit dose, 1 mg <1% 27 $0.31
87086 Culture, bacterial; quantitative colony count, urine <1% 16 $0.14
90710 0% 189 $0.00
90713 0% 100 $0.00
90633 0% 239 $0.00
87999 0% 98 $0.00
90670 0% 426 $0.00
90700 0% 217 $0.00
90648 0% 165 $0.00
90734 0% 78 $0.00
90685 0% 59 $0.00
90707 0% 15 $0.00
90715 0% 26 $0.00
90744 0% 255 $0.00
S9451 Exercise classes, non-physician provider, per session 0% 440 $0.00
90686 0% 147 $0.00
90698 0% 227 $0.00
90680 0% 245 $0.00
S3620 Newborn metabolic screening panel, includes test kit, postage and the laboratory tests specified by the state for inclusion in this panel (e.g., galactose; hemoglobin, electrophoresis; hydroxyprogesterone, 17-d; phenylalanine (pku); and thyroxine, total) 0% 14 $0.00
90696 0% 14 $0.00
90651 0% 27 $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.