Herz, Joshua

Herz, Joshua was paid $49K by Medicaid between Jan 2018 and Nov 2024, across 4 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 70% of everything it billed.

33Billing provider infoHERZ, JOSHUA
GLENVIEW, IL 60026

33aNPI1821004854assigned 07/31/2006

33bProvider typeOphthalmology Physician

28Total paid$49K

24GClaims1,544

24DCodes billed4

24AFirst – last monthJan 2018 – Nov 2024

Compared with peers

Next to other Ophthalmology Physician providers in Illinois

Rank by total paid#195 of 431

Median peer was paid$34K

This provider vs. median1.4×

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	169	$5K
2019	81	$3K
2020	179	$6K
2021	249	$8K
2022	310	$8K
2023	255	$8K
2024incomplete	301	$12K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
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	70%	1,038	963	$34K
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	18%	148	145	$9K
92015	Determination of refractive state	11%	330	305	$6K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	1.1%	28	26	$536.97

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.