Physician
Guillermo Hernandez, JR. DO
Guillermo Hernandez, JR. DO was paid $43K by Medicaid between Jan 2018 and Jul 2018, across 17 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 63% of everything it billed.
33Billing provider infoGUILLERMO HERNANDEZ, JR. DO
LAS CRUCES, NM 88011
LAS CRUCES, NM 88011
33aNPI1619179835assigned 06/01/2007
33bProvider typeFamily Medicine Physician
28Total paid$43K
24GClaims1,496
24DCodes billed17
24AFirst – last monthJan 2018 – Jul 2018
Compared with peers
Next to other Family Medicine Physician providers in New Mexico
Rank by total paid#99 of 148
Median peer was paid$167K
This provider vs. median0.3×
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 | 1,496 | $43K |
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 | 63% | 531 | 451 | $27K |
| 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 | 7.7% | 44 | 40 | $3K |
| S9999 | Sales tax | 6.5% | 413 | 291 | $3K |
| 90461 | 5.8% | 96 | 43 | $2K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 4.6% | 60 | 59 | $2K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 3.1% | 61 | 60 | $1K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 2.7% | 12 | 12 | $1K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 2.7% | 44 | 44 | $1K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 1.2% | 32 | 31 | $521.13 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 1.0% | 28 | 26 | $439.70 |
| 99080 | <1% | 65 | 64 | $320.00 | |
| 87807 | <1% | 12 | 12 | $184.13 |
5 more codes
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 officialHERNANDEZ, GUILLERMO (DOCTOR)
| Provider | Location | Paid |
|---|---|---|
| Guillermo Hernandez MD PLLC | Meridian, MS | $2K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.