Physician
Zhou, Eric
Zhou, Eric was paid $775K by Medicaid between Jan 2018 and Nov 2024, across 53 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 68% of everything it billed.
33Billing provider infoZHOU, ERIC
NEW YORK, NY 10002
NEW YORK, NY 10002
33aNPI1689674855assigned 07/28/2005
33bProvider typeNephrology Physician
28Total paid$775K
24GClaims41,805
24DCodes billed53
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Nephrology Physician providers in New York
Rank by total paid#12 of 559
Median peer was paid$18K
This provider vs. median44×
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 | 2,587 | $79K | |
| 2019 | 2,489 | $72K | |
| 2020 | 1,544 | $65K | |
| 2021 | 3,541 | $124K | |
| 2022 | 6,021 | $104K | |
| 2023 | 13,179 | $156K | |
| 2024incomplete | 12,444 | $174K |
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 | 68% | 14,936 | 10,813 | $530K |
| 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 | 17% | 2,564 | 2,510 | $135K |
| 99442 | 5.8% | 1,326 | 1,261 | $45K | |
| 99497 | 3.4% | 888 | 883 | $27K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 1.4% | 1,021 | 999 | $11K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 36 | 36 | $5K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 237 | 232 | $4K |
| 90756 | <1% | 129 | 129 | $3K | |
| 90674 | <1% | 709 | 707 | $3K | |
| 99397 | <1% | 294 | 291 | $2K | |
| 0013A | <1% | 111 | 110 | $2K | |
| 99441 | <1% | 61 | 61 | $2K |
41 more codes
| 36415 | Collection of venous blood by venipuncture | <1% | 1,174 | $1K |
| 93000 | <1% | 103 | $1K | |
| G0179 | Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care | <1% | 27 | $795.59 |
| 99491 | Ccm add 20min | <1% | 112 | $644.93 |
| H0001 | Alcohol and/or drug assessment | <1% | 90 | $577.23 |
| 90661 | <1% | 306 | $257.95 | |
| 99490 | Ccm add 20min | <1% | 15 | $192.50 |
| G0008 | Administration of influenza virus vaccine | <1% | 682 | $95.22 |
| 3078F | <1% | 1,610 | $10.00 | |
| 3074F | <1% | 1,080 | $2.50 | |
| 91306 | <1% | 19 | $0.15 | |
| 90677 | <1% | 90 | $0.08 | |
| 3061F | 0% | 1,073 | $0.00 | |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 1,619 | $0.00 |
| G8418 | Bmi is documented below normal parameters and a follow-up plan is documented | 0% | 479 | $0.00 |
| 3079F | 0% | 207 | $0.00 | |
| 3075F | 0% | 458 | $0.00 | |
| 3060F | 0% | 1,061 | $0.00 | |
| 3048F | 0% | 598 | $0.00 | |
| 3008F | 0% | 2,228 | $0.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 233 | $0.00 |
| 1036F | 0% | 134 | $0.00 | |
| 3044F | 0% | 1,161 | $0.00 | |
| 1000F | 0% | 110 | $0.00 | |
| 99429 | 0% | 682 | $0.00 | |
| G0009 | Administration of pneumococcal vaccine | 0% | 70 | $0.00 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 0% | 153 | $0.00 |
| 3052F | 0% | 30 | $0.00 | |
| 90480 | 0% | 48 | $0.00 | |
| 1160F | 0% | 582 | $0.00 | |
| G9507 | Documentation that the patient is on a statin medication or has documentation of a valid contraindication or exception to statin medications; contraindications/exceptions that can be defined by diagnosis codes include pregnancy during the measurement period, active liver disease, rhabdomyolysis, end stage renal disease on dialysis and heart failure; provider documented contraindications/exceptions include breastfeeding during the measurement period, woman of child-bearing age not actively taking birth control, allergy to statin, drug interaction (hiv protease inhibitors, nefazodone, cyclosporine, gemfibrozil, and danazol) and intolerance (with supporting documentation of trying a statin at least once within the last 5 years or diagnosis codes for myostitis or toxic myopathy related to drugs) | 0% | 706 | $0.00 |
| G9622 | Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method | 0% | 223 | $0.00 |
| 1159F | 0% | 584 | $0.00 | |
| 3051F | 0% | 782 | $0.00 | |
| 3725F | 0% | 177 | $0.00 | |
| 91304 | 0% | 48 | $0.00 | |
| G8506 | Patient receiving angiotensin converting enzyme (ace) inhibitor or angiotensin receptor blocker (arb) therapy | 0% | 562 | $0.00 |
| 3016F | 0% | 123 | $0.00 | |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | 0% | 12 | $0.00 |
| 91313 | 0% | 26 | $0.00 | |
| 90750 | 0% | 16 | $0.00 |
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.