HESHAM SIRSY, MD
10950 S EASTERN AVE 100, HENDERSON, NV 89052
NPI Number
1801025119
Practice location · View on Google Maps
Total Medicaid Payments
$336,236
-59% vs specialty average
Patients Seen
6,161
Total Claims
6,844
$ Per Patient
$55
Specialty avg: $37
Specialty Rank
#84 of 256
Pediatrics providers in Nevada
Peer Average
$819,121
Average total for Pediatrics
Claims per Patient
1.1
Average visits / services per person
Payments by Year
How much Medicaid paid this provider each year. Large jumps can indicate changes in practice volume or billing patterns.
| Year | Total Paid | % of Max |
|---|---|---|
| 2018 | $312,930 | |
| 2019 | $10,488 | |
| 2020 | $747 | |
| 2021 | $4,377 | |
| 2022 | $7,025 | |
| 2023 | $668 |
Procedure Code Breakdown
The specific medical services this provider billed Medicaid for. Each HCPCS/CPT code represents a different type of visit, test, or treatment.
| HCPCS Code | Description | Claims | Paid | % of Total | Avg per Claim |
|---|---|---|---|---|---|
| 99213 | Office visit for a simple problem (established patient) | 2,566 | $148,662 | 44.2% | $58 |
| 99214 | Office visit for a moderate problem (established patient) | 473 | $43,669 | 13.0% | $92 |
| 99392 | Wellness checkup — ages 1-4 | 414 | $37,181 | 11.1% | $90 |
| 90460 | Giving a vaccine to a child, including talking with the family about it | 965 | $33,864 | 10.1% | $35 |
| 99391 | Wellness checkup — infant (under 1 year) | 234 | $19,983 | 5.9% | $85 |
| 99393 | Wellness checkup — ages 5-11 | 216 | $19,749 | 5.9% | $91 |
| 99212 | Office visit for a minor problem (established patient) | 386 | $13,622 | 4.1% | $35 |
| 99394 | Wellness checkup — ages 12-17 | 134 | $12,909 | 3.8% | $96 |
| 99058 | Special medical service | 195 | $3,291 | 1.0% | $17 |
| 99203 | New patient office visit — moderate problem | 26 | $2,619 | 0.8% | $101 |
| 94760 | Breathing test or lung function test | 291 | $679 | 0.2% | $2 |
| 87804 | Flu test (rapid) | 16 | $8 | 0.0% | $1 |
| 90698 | Vaccine or immunization | 146 | $0 | 0.0% | $0 |
| 90715 | Tdap vaccine (tetanus, diphtheria, and whooping cough booster) | 16 | $0 | 0.0% | $0 |
| 90710 | MMRV vaccine (measles, mumps, rubella, and chickenpox) | 84 | $0 | 0.0% | $0 |
| 90685 | Vaccine or immunization | 44 | $0 | 0.0% | $0 |
| 90633 | Hepatitis A vaccine (child dose) | 99 | $0 | 0.0% | $0 |
| 90744 | Hepatitis B vaccine (child dose) | 29 | $0 | 0.0% | $0 |
| 90670 | Pneumonia vaccine (PCV13, protects against pneumonia) | 252 | $0 | 0.0% | $0 |
| 90680 | Vaccine or immunization | 90 | $0 | 0.0% | $0 |
| 90734 | Meningitis vaccine | 58 | $0 | 0.0% | $0 |
| 90686 | Vaccine or immunization | 110 | $0 | 0.0% | $0 |
About This Data
This data comes from the HHS Medicaid Provider Spending dataset (opendata.hhs.gov). It shows payments made through Nevada Medicaid from 2018–2024. High payments do not mean a provider is doing anything wrong — some specialties naturally cost more, and busy providers see more patients. But unusually high numbers compared to peers can be worth a closer look.