Physician
Fernandez, Claudia
Fernandez, Claudia was paid $30K by Medicaid between Oct 2018 and Jun 2024, across 3 billing codes. Its largest line is 99285, emergency room visit (most serious) — 93% of everything it billed.
33Billing provider infoFERNANDEZ, CLAUDIA
STONY BROOK, NY 11794
STONY BROOK, NY 11794
33aNPI1619045788assigned 11/30/2006
33bProvider typeEmergency Medicine Physician
28Total paid$30K
24GClaims821
24DCodes billed3
24AFirst – last monthOct 2018 – Jun 2024
Compared with peers
Next to other Emergency Medicine Physician providers in New York
Rank by total paid#289 of 2,113
Median peer was paid$5K
This provider vs. median6.6×
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
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 | 12 | $399.12 | |
| 2019 | 31 | $1K | |
| 2020 | 109 | $4K | |
| 2021 | 186 | $6K | |
| 2022 | 180 | $6K | |
| 2023 | 185 | $7K | |
| 2024incomplete | 118 | $6K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99285 | Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life | 93% | 666 | 664 | $28K |
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 6.6% | 68 | 68 | $2K |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 87 | 84 | $258.17 |
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.