Fernandez, Luis

Fernandez, Luis was paid $340K by Medicaid between Oct 2020 and Dec 2024, across 7 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 37% of everything it billed.

33Billing provider infoFERNANDEZ, LUIS
PITTSBURGH, PA 15224

33aNPI1528370756assigned 07/02/2010

33bProvider typePediatrics Physician

28Total paid$340K

24GClaims2,064

24DCodes billed7

24AFirst – last monthOct 2020 – Dec 2024

Compared with peers

Next to other Pediatrics Physician providers in Pennsylvania

Rank by total paid#260 of 1,257

Median peer was paid$45K

This provider vs. median7.5×

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	89	$23K
2021	331	$56K
2022	418	$67K
2023	619	$101K
2024incomplete	607	$92K

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	37%	1,197	1,179	$125K
95720		30%	301	212	$103K
95718		27%	412	358	$90K
99204	Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity	4.4%	80	80	$15K
99215	Doctor's office visit, returning patient (complex)Prolong outpt/office vis	<1%	31	31	$3K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	<1%	27	27	$2K
95812		<1%	16	16	$2K

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.