Hernandez, Elizabeth

Hernandez, Elizabeth was paid $124K by Medicaid between Sep 2019 and Sep 2020, across 8 billing codes. Its largest line is 99203, doctor's office visit, new patient (routine) — 51% of everything it billed.

33Billing provider infoHERNANDEZ, ELIZABETH
HOMESTEAD, FL 33030

33aNPI1790035921assigned 09/14/2012

33bProvider typeEmergency Medical Services (Emergency Medicine) Physician

28Total paid$124K

24GClaims2,483

24DCodes billed8

24AFirst – last monthSep 2019 – Sep 2020

Compared with peers

Next to other Emergency Medical Services (Emergency Medicine) Physician providers in Florida

Rank by total paid#11 of 19

Median peer was paid$144K

This provider vs. median0.9×

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.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

OIG exclusionListed on the federal exclusion list (04/18/2024).

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
2019	32	$3K
2020	2,451	$122K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	51%	1,104	1,063	$63K
99215	Doctor's office visit, returning patient (complex)Prolong outpt/office vis	11%	205	205	$14K
99204	Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity	11%	188	178	$14K
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	11%	187	182	$14K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	7.3%	292	241	$9K
99211	Office or other outpatient visit for the evaluation and management of an established patient, minimal severity	4.4%	359	280	$5K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	4.0%	107	99	$5K
99202	Office or other outpatient visit for the evaluation and management of a new patient, straightforward	<1%	41	34	$25.84

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.