Physician
Hershey, Joel
Hershey, Joel was paid $42K by Medicaid between Jan 2021 and Dec 2024, across 12 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 48% of everything it billed.
33Billing provider infoHERSHEY, JOEL
HAUPPAUGE, NY 11788
HAUPPAUGE, NY 11788
33aNPI1760425649assigned 06/14/2006
33bProvider typePediatrics Physician
28Total paid$42K
24GClaims795
24DCodes billed12
24AFirst – last monthJan 2021 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in New York
Rank by total paid#840 of 1,983
Median peer was paid$17K
This provider vs. median2.5×
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 | |
|---|---|---|---|
| 2021 | 40 | $3K | |
| 2023 | 19 | $489.45 | |
| 2024incomplete | 736 | $39K |
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 | 48% | 220 | 199 | $20K |
| 99442 | 12% | 82 | 79 | $5K | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 11% | 196 | 133 | $5K |
| 92552 | 10% | 107 | 107 | $4K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 9.8% | 49 | 49 | $4K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 3.8% | 21 | 21 | $2K |
| 87428 | 2.4% | 16 | 15 | $1K | |
| 96160 | <1% | 14 | 14 | $350.00 | |
| 90461 | <1% | 15 | 15 | $290.53 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 14 | 14 | $186.14 |
| 81002 | <1% | 35 | 34 | $97.03 | |
| 90674 | <1% | 26 | 25 | $34.18 |
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.