Physician
Hesham Sirsy MD LTD
Hesham Sirsy MD LTD was paid $1.79M by Medicaid between Oct 2018 and Dec 2024, across 44 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 31% of everything it billed.
33Billing provider infoHESHAM SIRSY MD LTD
HENDERSON, NV 89052
HENDERSON, NV 89052
33aNPI1982763108assigned 12/06/2006
33bProvider typePediatrics Physician
28Total paid$1.79M
24GClaims41,665
24DCodes billed44
24AFirst – last monthOct 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Nevada
Rank by total paid#32 of 267
Median peer was paid$116K
This provider vs. median15×
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 | 50 | $2K | |
| 2019 | 5,463 | $289K | |
| 2020 | 4,635 | $229K | |
| 2021 | 6,316 | $286K | |
| 2022 | 8,888 | $373K | |
| 2023 | 8,951 | $356K | |
| 2024incomplete | 7,362 | $252K |
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 | 31% | 9,510 | 7,738 | $555K |
| 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 | 20% | 4,254 | 3,545 | $355K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 11% | 4,974 | 4,227 | $195K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 9.9% | 2,338 | 1,936 | $177K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 9.8% | 2,005 | 1,780 | $174K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 4.7% | 939 | 841 | $84K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 4.4% | 2,814 | 2,355 | $79K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 2.9% | 551 | 506 | $52K |
| 90461 | 2.3% | 1,291 | 1,078 | $40K | |
| 99058 | <1% | 1,128 | 962 | $17K | |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 295 | 262 | $11K |
| 87636 | Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B | <1% | 180 | 132 | $9K |
32 more codes
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | <1% | 348 | $7K |
| 92567 | <1% | 604 | $7K | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 31 | $4K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 665 | $4K |
| 99223 | Prolong inpt eval add15 m | <1% | 30 | $4K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 600 | $4K |
| 94760 | <1% | 1,427 | $2K | |
| 99235 | <1% | 16 | $1K | |
| 86403 | <1% | 234 | $1K | |
| 99239 | Hospital discharge day management, more than 30 minutes | <1% | 18 | $1K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 30 | $491.96 |
| 90671 | <1% | 568 | $449.78 | |
| 88720 | <1% | 112 | $213.64 | |
| 96127 | <1% | 81 | $211.41 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 21 | $103.60 |
| 90698 | <1% | 895 | $88.88 | |
| 96160 | <1% | 75 | $88.59 | |
| 90686 | <1% | 719 | $41.06 | |
| 90744 | 0% | 457 | $0.00 | |
| 90680 | 0% | 1,168 | $0.00 | |
| 90697 | 0% | 567 | $0.00 | |
| 90651 | 0% | 53 | $0.00 | |
| 90696 | 0% | 46 | $0.00 | |
| 90619 | 0% | 101 | $0.00 | |
| 90633 | 0% | 576 | $0.00 | |
| 90670 | 0% | 1,283 | $0.00 | |
| 90710 | 0% | 352 | $0.00 | |
| 90734 | 0% | 144 | $0.00 | |
| 90715 | 0% | 77 | $0.00 | |
| 90700 | 0% | 45 | $0.00 | |
| 90685 | 0% | 28 | $0.00 | |
| 90648 | 0% | 15 | $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.
From NPPES
Who's on the registration
Authorized officialSIRSY, HESHAM (OWNER)