Physician
Hernandez, Louis
Hernandez, Louis was paid $16K by Medicaid between Jan 2018 and Oct 2024, across 27 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 56% of everything it billed.
33Billing provider infoHERNANDEZ, LOUIS
MADERA, CA 93638
MADERA, CA 93638
33aNPI1730295189assigned 08/21/2006
33bProvider typeFamily Medicine Physician
28Total paid$16K
24GClaims29,768
24DCodes billed27
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers
Next to other Family Medicine Physician providers in California
Rank by total paid#1,187 of 2,511
Median peer was paid$13K
This provider vs. median1.2×
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 | 5,568 | $7K | |
| 2019 | 5,686 | $2K | |
| 2020 | 3,410 | $1K | |
| 2021 | 2,500 | $859.75 | |
| 2022 | 2,907 | $241.29 | |
| 2023 | 5,052 | $1K | |
| 2024incomplete | 4,645 | $3K |
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 | 56% | 3,247 | 3,139 | $9K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 27% | 4,065 | 3,608 | $4K |
| 36425 | 7.2% | 2,035 | 1,954 | $1K | |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 6.0% | 314 | 314 | $958.22 |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 2.0% | 70 | 69 | $314.49 |
| 81002 | <1% | 1,369 | 1,318 | $66.75 | |
| 90654 | <1% | 17 | 16 | $60.17 | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 1,104 | 1,058 | $52.96 |
| 90686 | <1% | 369 | 367 | $17.62 | |
| 82962 | <1% | 335 | 324 | $15.41 | |
| 82948 | <1% | 2,162 | 2,020 | $15.36 | |
| 99000 | <1% | 242 | 224 | $13.74 |
15 more codes
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 509 | $12.24 |
| 81005 | <1% | 87 | $6.68 | |
| 81003 | <1% | 28 | $3.17 | |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 3,168 | $0.00 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 4,461 | $0.00 |
| 83037 | 0% | 80 | $0.00 | |
| 1124F | 0% | 723 | $0.00 | |
| 90682 | 0% | 59 | $0.00 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 0% | 15 | $0.00 |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 612 | $0.00 |
| G9903 | Patient screened for tobacco use and identified as a tobacco non-user | 0% | 4,262 | $0.00 |
| G9906 | Patient identified as a tobacco user received tobacco cessation intervention during the measurement period or in the six months prior to the measurement period (counseling and/or pharmacotherapy) | 0% | 29 | $0.00 |
| 99308 | Subsequent nursing facility care, per day, straightforward | 0% | 15 | $0.00 |
| 1123F | 0% | 313 | $0.00 | |
| 3044F | 0% | 78 | $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.