Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

PIMENTEL, RAMON

NPI: 1033147426 · JACKSON HEIGHTS, NY 11372 · Geriatric Medicine (Family Medicine) Physician · NPI assigned 06/28/2006

$193K
Total Medicaid Paid
58,619
Total Claims
57,098
Beneficiaries
90
Codes Billed
2018-01
First Month
2024-12
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 3,263 $13K
2019 12,782 $47K
2020 8,393 $26K
2021 12,517 $42K
2022 15,923 $47K
2023 448 $3K
2024 5,293 $15K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 3,895 3,816 $79K
G0444 Annual depression screening, 5 to 15 minutes 2,763 2,658 $28K
G0442 Annual alcohol misuse screening, 5 to 15 minutes 1,271 1,237 $17K
G0446 Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes 1,006 979 $12K
99497 324 323 $10K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 937 902 $7K
99487 Ccm add 20min 117 117 $5K
G0447 Face-to-face behavioral counseling for obesity, 15 minutes 309 284 $5K
93000 354 353 $3K
3078F 2,140 2,061 $3K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 592 591 $3K
3074F 1,898 1,837 $3K
99490 Ccm add 20min 208 207 $3K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 206 205 $2K
G0108 Diabetes outpatient self-management training services, individual, per 30 minutes 340 329 $2K
82947 595 573 $2K
99401 1,501 1,470 $1K
99397 17 17 $1K
99442 22 18 $1K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 223 220 $785.17
G8510 Screening for depression is documented as negative, a follow-up plan is not required 1,260 1,224 $588.00
90674 212 211 $566.36
1159F 2,300 2,216 $464.10
36415 Collection of venous blood by venipuncture 2,734 2,690 $421.22
1160F 2,439 2,334 $360.85
93272 178 177 $292.02
1126F 1,631 1,575 $291.60
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 13 13 $248.56
H0001 Alcohol and/or drug assessment 1,066 1,064 $134.60
3075F 59 57 $112.50
3079F 65 65 $102.50
80061 Lipid panel 1,105 1,086 $64.41
82270 427 426 $61.32
3077F 13 13 $50.00
1125F 264 259 $38.50
96127 17 17 $9.44
1000F 1,065 1,056 $3.50
1036F 1,759 1,728 $0.00
3008F 2,893 2,764 $0.00
G8754 Most recent diastolic blood pressure < 90 mmhg 1,022 1,010 $0.00
3017F 177 177 $0.00
1030F 336 335 $0.00
4293F 139 139 $0.00
2000F 2,150 2,085 $0.00
3011F 28 28 $0.00
83036 Hemoglobin; glycosylated (A1C) 40 40 $0.00
G9903 Patient screened for tobacco use and identified as a tobacco non-user 16 16 $0.00
G8420 Bmi is documented within normal parameters and no follow-up plan is required 705 678 $0.00
4010F 321 312 $0.00
1220F 301 300 $0.00
2001F 46 46 $0.00
4086F 76 74 $0.00
4037F 27 27 $0.00
A4556 Electrodes, (e.g., apnea monitor), per pair 119 118 $0.00
G0472 Hepatitis c antibody screening, for individual at high risk and other covered indication(s) 93 93 $0.00
2010F 46 46 $0.00
99058 13 13 $0.00
3014F 26 26 $0.00
99429 27 27 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 463 450 $0.00
3016F 927 923 $0.00
G2010 Remote evaluation of recorded video and/or images submitted by an established patient (e.g., store and forward), including interpretation with follow-up with the patient within 24 business hours, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment 119 119 $0.00
G9150 National committee for quality assurance - level 3 medical home 3,316 3,156 $0.00
4013F 384 376 $0.00
G8752 Most recent systolic blood pressure < 140 mmhg 930 922 $0.00
3725F 1,458 1,444 $0.00
G8731 Pain assessment using a standardized tool is documented as negative, no follow-up plan required 187 184 $0.00
G9622 Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method 506 505 $0.00
0521F 522 516 $0.00
G0435 Infectious agent antibody detection by rapid antibody test, hiv-1 and/or hiv-2, screening 184 183 $0.00
G9383 Patient received screening for hcv infection within the 12 month reporting period 71 70 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 2,357 2,284 $0.00
G8482 Influenza immunization administered or previously received 24 24 $0.00
2022F 52 52 $0.00
96160 313 306 $0.00
G8730 Pain assessment documented as positive using a standardized tool and a follow-up plan is documented 88 88 $0.00
G8783 Normal blood pressure reading documented, follow-up not required 393 391 $0.00
G0445 High intensity behavioral counseling to prevent sexually transmitted infection; face-to-face, individual, includes: education, skills training and guidance on how to change sexual behavior; performed semi-annually, 30 minutes 44 42 $0.00
99072 1,331 1,294 $0.00
97156 311 304 $0.00
2028F 161 158 $0.00
0556F 106 106 $0.00
G9820 Documentation of a chlamydia screening test with proper follow-up 41 41 $0.00
99421 52 52 $0.00
G9744 Patient not eligible due to active diagnosis of hypertension 153 148 $0.00
G8483 Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) 74 73 $0.00
G0459 Inpatient telehealth pharmacologic management, including prescription, use, and review of medication with no more than minimal medical psychotherapy 84 84 $0.00
3342F 14 14 $0.00
G8753 Most recent systolic blood pressure >= 140 mmhg 15 15 $0.00
G8431 Screening for depression is documented as being positive and a follow-up plan is documented 13 12 $0.00