Physician
Nicolas, Ramzi
Nicolas, Ramzi was paid $994K by Medicaid between Jan 2018 and Dec 2024, across 10 billing codes. Its largest line is 93303, Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study — 30% of everything it billed.
33Billing provider infoNICOLAS, RAMZI
SAINT LOUIS, MO 63110
SAINT LOUIS, MO 63110
33aNPI1023090875assigned 11/17/2005
33bProvider typePediatric Cardiology Physician
28Total paid$994K
24GClaims22,897
24DCodes billed10
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatric Cardiology Physician providers in Missouri
Rank by total paid#2 of 35
Median peer was paid$27K
This provider vs. median37×
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 | 1,319 | $80K | |
| 2019 | 3,331 | $282K | |
| 2020 | 3,565 | $207K | |
| 2021 | 4,841 | $155K | |
| 2022 | 3,378 | $86K | |
| 2023 | 3,495 | $99K | |
| 2024incomplete | 2,968 | $85K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 93303 | Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study | 30% | 3,445 | 2,653 | $301K |
| 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% | 1,829 | 1,395 | $201K |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | 15% | 1,629 | 1,242 | $149K |
| 93320 | 10% | 3,463 | 2,645 | $103K | |
| 93325 | 9.9% | 3,755 | 2,833 | $98K | |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | 9.8% | 8,193 | 6,493 | $98K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 1.8% | 294 | 220 | $18K |
| 99244 | Office or other outpatient consultation, moderate to high complexity | 1.5% | 112 | 93 | $15K |
| 99243 | <1% | 62 | 41 | $6K | |
| 93227 | <1% | 115 | 94 | $5K |
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.