Merlo, Lourdes

Merlo, Lourdes was paid $6K by Medicaid between Feb 2020 and Aug 2023, across 4 billing codes. Its largest line is 99233, hospital visit by a doctor, follow-up day (complex) — 51% of everything it billed.

33Billing provider infoMERLO, LOURDES
REGO PARK, NY 11374

33aNPI1902035215assigned 07/08/2009

33bProvider typeHospice and Palliative Medicine (Internal Medicine) Physician

28Total paid$6K

24GClaims571

24DCodes billed4

24AFirst – last monthFeb 2020 – Aug 2023

Compared with peers

Next to other Hospice and Palliative Medicine (Internal Medicine) Physician providers in New York

Rank by total paid#19 of 47

Median peer was paid$4K

This provider vs. median1.5×

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
2020	167	$1K
2021	187	$2K
2022	203	$3K
2023	14	$172.13

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99233	Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m	51%	230	160	$3K
99232	Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity	42%	296	209	$3K
99251		3.7%	17	17	$229.16
99231	Subsequent hospital care, per day, straightforward or low complexity	3.5%	28	16	$218.41

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.