Hernandez, Michael

Hernandez, Michael was paid $166K by Medicaid between Apr 2021 and Nov 2023, across 8 billing codes. Its largest line is 99231, Subsequent hospital care, per day, straightforward or low complexity — 42% of everything it billed.

33Billing provider infoHERNANDEZ, MICHAEL
CORPUS CHRISTI, TX 78417

33aNPI1851380885assigned 10/21/2005

33bProvider typePsychiatry Physician

28Total paid$166K

24GClaims3,514

24DCodes billed8

24AFirst – last monthApr 2021 – Nov 2023

Compared with peers

Next to other Psychiatry Physician providers in Texas

Rank by total paid#115 of 311

Median peer was paid$63K

This provider vs. median2.6×

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
2021	609	$32K
2022	1,731	$79K
2023	1,174	$55K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99231	Subsequent hospital care, per day, straightforward or low complexity	42%	2,290	725	$70K
99222	Initial hospital care, per day, moderate complexity	21%	402	364	$35K
99239	Hospital discharge day management, more than 30 minutes	16%	375	346	$26K
90792	Psychiatric diagnostic evaluation with medical services	13%	169	157	$21K
99233	Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m	5.1%	145	63	$8K
99232	Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity	3.0%	106	75	$5K
99238	Hospital discharge day management, 30 minutes or less	<1%	14	13	$736.59
99051		0%	13	13	$0.00

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.