Physician
Sirsy, Hesham
Sirsy, Hesham was paid $336K by Medicaid between Jan 2018 and May 2023, across 22 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 44% of everything it billed.
33Billing provider infoSIRSY, HESHAM
HENDERSON, NV 89052
HENDERSON, NV 89052
33aNPI1801025119assigned 07/08/2009
33bProvider typePediatrics Physician
28Total paid$336K
24GClaims6,844
24DCodes billed22
24AFirst – last monthJan 2018 – May 2023
Compared with peers
Next to other Pediatrics Physician providers in Nevada
Rank by total paid#81 of 267
Median peer was paid$116K
This provider vs. median2.9×
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.
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 | 6,092 | $313K | |
| 2019 | 187 | $10K | |
| 2020 | 13 | $747.38 | |
| 2021 | 280 | $4K | |
| 2022 | 256 | $7K | |
| 2023 | 16 | $668.38 |
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 | 44% | 2,566 | 2,176 | $149K |
| 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 | 13% | 473 | 449 | $44K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 11% | 414 | 391 | $37K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 10% | 965 | 869 | $34K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 5.9% | 234 | 222 | $20K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 5.9% | 216 | 207 | $20K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 4.1% | 386 | 354 | $14K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 3.8% | 134 | 124 | $13K |
| 99058 | <1% | 195 | 178 | $3K | |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | <1% | 26 | 26 | $3K |
| 94760 | <1% | 291 | 257 | $678.93 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 16 | 13 | $8.18 |
10 more codes
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.