Physician
Herrera, Cesar
Herrera, Cesar was paid $12K by Medicaid between May 2019 and Oct 2019, across 17 billing codes. Its largest line is 3078F, — 18% of everything it billed.
33Billing provider infoHERRERA, CESAR
PORT ST LUCIE, FL 34983
PORT ST LUCIE, FL 34983
33aNPI1821212580assigned 04/12/2007
33bProvider typeGeneral Practice Physician
28Total paid$12K
24GClaims2,512
24DCodes billed17
24AFirst – last monthMay 2019 – Oct 2019
Compared with peers
Next to other General Practice Physician providers in Florida
Rank by total paid#244 of 420
Median peer was paid$23K
This provider vs. median0.5×
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 | |
|---|---|---|---|
| 2019 | 2,512 | $12K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 3078F | 18% | 219 | 187 | $2K | |
| 99499 | 15% | 219 | 158 | $2K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 15% | 196 | 169 | $2K |
| 1160F | 8.9% | 211 | 196 | $1K | |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 8.7% | 116 | 115 | $1K |
| 1158F | 6.5% | 217 | 205 | $750.00 | |
| 1170F | 6.5% | 129 | 128 | $750.00 | |
| 3079F | 5.7% | 90 | 85 | $650.00 | |
| 3008F | 5.0% | 147 | 133 | $575.00 | |
| 1159F | 4.1% | 209 | 195 | $475.00 | |
| 3725F | 3.7% | 131 | 130 | $425.00 | |
| G0396 | Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and brief intervention 15 to 30 minutes | 1.3% | 55 | 52 | $150.00 |
5 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.