Managed care
Luis A. Yerovi MD PA
Luis A. Yerovi MD PA was paid $276K by Medicaid between Feb 2018 and Nov 2024, across 17 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 73% of everything it billed.
33Billing provider infoLUIS A. YEROVI MD PA
NEWARK, NJ 07105
NEWARK, NJ 07105
33aNPI1942505912assigned 01/21/2011
33bProvider typeExclusive Provider Organization
28Total paid$276K
24GClaims10,035
24DCodes billed17
24AFirst – last monthFeb 2018 – Nov 2024
Compared with peers
Next to other Exclusive Provider Organization providers in New Jersey
Rank by total paid#5 of 13
Median peer was paid$159K
This provider vs. median1.7×
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 | 397 | $5K | |
| 2019 | 1,126 | $25K | |
| 2020 | 1,938 | $56K | |
| 2021 | 4,605 | $133K | |
| 2022 | 869 | $24K | |
| 2024incomplete | 1,100 | $34K |
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 | 73% | 5,491 | 3,916 | $203K |
| 76830 | Ultrasound, transvaginal | 3.5% | 156 | 151 | $10K |
| 76856 | Ultrasound, pelvic (nonobstetric), real time with image documentation; complete | 3.3% | 159 | 154 | $9K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 3.0% | 199 | 197 | $8K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 2.9% | 198 | 198 | $8K |
| 76817 | Ultrasound, pregnant uterus, real time with image documentation, transvaginal | 2.6% | 73 | 35 | $7K |
| 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 | 2.5% | 244 | 238 | $7K |
| 81025 | 2.1% | 1,974 | 1,765 | $6K | |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 2.0% | 107 | 107 | $6K |
| 99385 | 1.1% | 71 | 71 | $3K | |
| 93976 | 1.0% | 38 | 38 | $3K | |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | 1.0% | 73 | 35 | $3K |
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.
From NPPES
Who's on the registration
Authorized officialYEROVI, LUIS (OWNER/DOCTOR)