Herzig, Dawn

Herzig, Dawn was paid $75K by Medicaid between Nov 2020 and Dec 2024, across 6 billing codes. Its largest line is 92012, Ophthalmological services: medical examination and evaluation, intermediate, established patient — 43% of everything it billed.

33Billing provider infoHERZIG, DAWN
PITTSBURGH, PA 15219

33aNPI1770549560assigned 04/21/2006

33bProvider typeOphthalmology Physician

28Total paid$75K

24GClaims2,683

24DCodes billed6

24AFirst – last monthNov 2020 – Dec 2024

Compared with peers

Next to other Ophthalmology Physician providers in Pennsylvania

Rank by total paid#65 of 288

Median peer was paid$7K

This provider vs. median11×

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
2020	38	$1K
2021	388	$12K
2022	495	$16K
2023	717	$23K
2024incomplete	1,045	$24K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
92012	Ophthalmological services: medical examination and evaluation, intermediate, established patient	43%	1,146	1,115	$32K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	30%	723	688	$22K
92060		9.7%	214	211	$7K
92015	Determination of refractive state	6.8%	433	418	$5K
92004	Ophthalmological services: medical examination and evaluation, comprehensive, new patient	6.4%	81	80	$5K
92014	Ophthalmological services: medical examination and evaluation, comprehensive, established patient	4.8%	86	84	$4K

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.