Hernandez, Michael

Hernandez, Michael was paid $233K by Medicaid between Dec 2018 and Oct 2024, across 4 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 88% of everything it billed.

33Billing provider infoHERNANDEZ, MICHAEL
MARATHON, FL 33050

33aNPI1699982819assigned 05/17/2007

33bProvider typePediatrics Physician

28Total paid$233K

24GClaims4,121

24DCodes billed4

24AFirst – last monthDec 2018 – Oct 2024

Compared with peers

Next to other Pediatrics Physician providers in Florida

Rank by total paid#490 of 971

Median peer was paid$238K

This provider vs. median1.0×

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	73	$4K
2019	1,099	$55K
2020	615	$30K
2021	733	$39K
2022	779	$51K
2023	663	$44K
2024incomplete	159	$10K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
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	88%	3,352	2,717	$204K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	11%	741	618	$27K
99393	Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years)	<1%	14	13	$1K
99392	Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years)	<1%	14	14	$1K

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.