Oscar Herrera MD PA

Oscar Herrera MD PA was paid $682K by Medicaid between Jan 2018 and Dec 2024, across 9 billing codes. Its largest line is 99223, Prolong inpt eval add15 m — 41% of everything it billed.

33Billing provider infoOSCAR HERRERA MD PA
MIAMI, FL 33126

33aNPI1770983447assigned 08/29/2014

33bProvider typeInfectious Disease Physician

28Total paid$682K

24GClaims45,235

24DCodes billed9

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other Infectious Disease Physician providers in Florida

Rank by total paid#17 of 174

Median peer was paid$60K

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
2018	2,950	$14K
2019	6,585	$97K
2020	8,914	$108K
2021	7,528	$121K
2022	6,745	$104K
2023	7,537	$137K
2024incomplete	4,976	$100K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99223	Prolong inpt eval add15 m	41%	4,348	3,268	$282K
99232	Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity	35%	33,330	5,627	$241K
99254		10%	573	509	$70K
99222	Initial hospital care, per day, moderate complexity	5.9%	1,529	1,000	$41K
99356		3.9%	3,012	291	$27K
99233	Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m	2.7%	2,170	438	$18K
99253		<1%	15	12	$931.07
99305		<1%	155	105	$797.05
99306	Prolong nursin fac eval 15m	<1%	103	64	$491.42

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.

From NPPES

Who's on the registration

Authorized officialHERRERA, OSCAR (OWNER/PRESIDENT)