John C. Herzog, DO, PLLC

John C. Herzog, DO, PLLC was paid $139K by Medicaid between May 2018 and Oct 2024, across 6 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 53% of everything it billed.

33Billing provider infoJOHN C. HERZOG, DO, PLLC
SARATOGA SPRINGS, NY 12866

33aNPI1538324207assigned 07/22/2008

33bProvider typeOrthopaedic Surgery of the Spine Physician

28Total paid$139K

24GClaims1,563

24DCodes billed6

24AFirst – last monthMay 2018 – Oct 2024

Compared with peers

Next to other Orthopaedic Surgery of the Spine Physician providers in New York

Rank by total paid#3 of 32

Median peer was paid$3K

This provider vs. median49×

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
2018	59	$5K
2019	183	$18K
2020	326	$25K
2021	543	$48K
2022	260	$21K
2023	139	$16K
2024incomplete	53	$7K

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	53%	798	755	$73K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	18%	423	401	$25K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	12%	135	135	$17K
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	11%	126	122	$15K
99202	Office or other outpatient visit for the evaluation and management of a new patient, straightforward	3.4%	57	57	$5K
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	3.0%	24	24	$4K

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.

From NPPES

Who's on the registration

Authorized officialFIELDS, LAUREN (PRACTICE MANAGER)