Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › WI › Madison › NPI 1568429272
Physician

Herscovici, Sorin

Herscovici, Sorin was paid $3K by Medicaid between Apr 2023 and Jul 2024, across 5 billing codes. Its largest line is 99215, doctor's office visit, returning patient (complex) — 28% of everything it billed.

33Billing provider infoHERSCOVICI, SORIN
MADISON, WI 53717
33aNPI1568429272assigned 04/27/2006
28Total paid$3K
24GClaims320
24DCodes billed5
24AFirst – last monthApr 2023 – Jul 2024
Compared with peers

Next to other Endocrinology, Diabetes & Metabolism Physician providers in Wisconsin

Rank by total paid#6 of 6
Median peer was paid$5K
This provider vs. median0.6×

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$500$1.0K$1.5K2018201920202021202220232024
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
2023186$3K
2024incomplete134$288.50
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99215 Doctor's office visit, returning patient (complex)Prolong outpt/office vis 28% 41 41 $792.89
95251 23% 24 24 $635.26
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 22% 162 162 $626.54
83036 Hemoglobin; glycosylated (A1C) 19% 62 62 $530.72
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 8.3% 31 31 $233.64

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.