Physician
Pimentel, Ramon
Pimentel, Ramon was paid $193K by Medicaid between Jan 2018 and Dec 2024, across 90 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 41% of everything it billed.
33Billing provider infoPIMENTEL, RAMON
JACKSON HEIGHTS, NY 11372
JACKSON HEIGHTS, NY 11372
33aNPI1033147426assigned 06/28/2006
33bProvider typeGeriatric Medicine (Family Medicine) Physician
28Total paid$193K
24GClaims58,619
24DCodes billed90
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Geriatric Medicine (Family Medicine) Physician providers in New York
Rank by total paid#6 of 44
Median peer was paid$7K
This provider vs. median28×
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 | 3,263 | $13K | |
| 2019 | 12,782 | $47K | |
| 2020 | 8,393 | $26K | |
| 2021 | 12,517 | $42K | |
| 2022 | 15,923 | $47K | |
| 2023 | 448 | $3K | |
| 2024incomplete | 5,293 | $15K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 41% | 3,895 | 3,816 | $79K |
| G0444 | Annual depression screening, 5 to 15 minutes | 14% | 2,763 | 2,658 | $28K |
| G0442 | Annual alcohol misuse screening, 5 to 15 minutes | 8.7% | 1,271 | 1,237 | $17K |
| G0446 | Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes | 6.1% | 1,006 | 979 | $12K |
| 99497 | 5.4% | 324 | 323 | $10K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 3.8% | 937 | 902 | $7K |
| 99487 | Ccm add 20min | 2.6% | 117 | 117 | $5K |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | 2.6% | 309 | 284 | $5K |
| 93000 | 1.8% | 354 | 353 | $3K | |
| 3078F | 1.8% | 2,140 | 2,061 | $3K | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 1.6% | 592 | 591 | $3K |
| 3074F | 1.6% | 1,898 | 1,837 | $3K |
78 more codes
| 99490 | Ccm add 20min | 1.3% | 208 | $3K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 1.2% | 206 | $2K |
| G0108 | Diabetes outpatient self-management training services, individual, per 30 minutes | <1% | 340 | $2K |
| 82947 | <1% | 595 | $2K | |
| 99401 | <1% | 1,501 | $1K | |
| 99397 | <1% | 17 | $1K | |
| 99442 | <1% | 22 | $1K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 223 | $785.17 |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 1,260 | $588.00 |
| 90674 | <1% | 212 | $566.36 | |
| 1159F | <1% | 2,300 | $464.10 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 2,734 | $421.22 |
| 1160F | <1% | 2,439 | $360.85 | |
| 93272 | <1% | 178 | $292.02 | |
| 1126F | <1% | 1,631 | $291.60 | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 13 | $248.56 |
| H0001 | Alcohol and/or drug assessment | <1% | 1,066 | $134.60 |
| 3075F | <1% | 59 | $112.50 | |
| 3079F | <1% | 65 | $102.50 | |
| 80061 | Lipid panel | <1% | 1,105 | $64.41 |
| 82270 | <1% | 427 | $61.32 | |
| 3077F | <1% | 13 | $50.00 | |
| 1125F | <1% | 264 | $38.50 | |
| 96127 | <1% | 17 | $9.44 | |
| 1000F | <1% | 1,065 | $3.50 | |
| 1036F | 0% | 1,759 | $0.00 | |
| 3008F | 0% | 2,893 | $0.00 | |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 1,022 | $0.00 |
| 3017F | 0% | 177 | $0.00 | |
| 1030F | 0% | 336 | $0.00 | |
| 4293F | 0% | 139 | $0.00 | |
| 2000F | 0% | 2,150 | $0.00 | |
| 3011F | 0% | 28 | $0.00 | |
| 83036 | Hemoglobin; glycosylated (A1C) | 0% | 40 | $0.00 |
| G9903 | Patient screened for tobacco use and identified as a tobacco non-user | 0% | 16 | $0.00 |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 705 | $0.00 |
| 4010F | 0% | 321 | $0.00 | |
| 1220F | 0% | 301 | $0.00 | |
| 2001F | 0% | 46 | $0.00 | |
| 4086F | 0% | 76 | $0.00 | |
| 4037F | 0% | 27 | $0.00 | |
| A4556 | Electrodes, (e.g., apnea monitor), per pair | 0% | 119 | $0.00 |
| G0472 | Hepatitis c antibody screening, for individual at high risk and other covered indication(s) | 0% | 93 | $0.00 |
| 2010F | 0% | 46 | $0.00 | |
| 99058 | 0% | 13 | $0.00 | |
| 3014F | 0% | 26 | $0.00 | |
| 99429 | 0% | 27 | $0.00 | |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 463 | $0.00 |
| 3016F | 0% | 927 | $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 | 0% | 119 | $0.00 |
| G9150 | National committee for quality assurance - level 3 medical home | 0% | 3,316 | $0.00 |
| 4013F | 0% | 384 | $0.00 | |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 0% | 930 | $0.00 |
| 3725F | 0% | 1,458 | $0.00 | |
| G8731 | Pain assessment using a standardized tool is documented as negative, no follow-up plan required | 0% | 187 | $0.00 |
| G9622 | Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method | 0% | 506 | $0.00 |
| 0521F | 0% | 522 | $0.00 | |
| G0435 | Infectious agent antibody detection by rapid antibody test, hiv-1 and/or hiv-2, screening | 0% | 184 | $0.00 |
| G9383 | Patient received screening for hcv infection within the 12 month reporting period | 0% | 71 | $0.00 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 2,357 | $0.00 |
| G8482 | Influenza immunization administered or previously received | 0% | 24 | $0.00 |
| 2022F | 0% | 52 | $0.00 | |
| 96160 | 0% | 313 | $0.00 | |
| G8730 | Pain assessment documented as positive using a standardized tool and a follow-up plan is documented | 0% | 88 | $0.00 |
| G8783 | Normal blood pressure reading documented, follow-up not required | 0% | 393 | $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 | 0% | 44 | $0.00 |
| 99072 | 0% | 1,331 | $0.00 | |
| 97156 | 0% | 311 | $0.00 | |
| 2028F | 0% | 161 | $0.00 | |
| 0556F | 0% | 106 | $0.00 | |
| G9820 | Documentation of a chlamydia screening test with proper follow-up | 0% | 41 | $0.00 |
| 99421 | 0% | 52 | $0.00 | |
| G9744 | Patient not eligible due to active diagnosis of hypertension | 0% | 153 | $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) | 0% | 74 | $0.00 |
| G0459 | Inpatient telehealth pharmacologic management, including prescription, use, and review of medication with no more than minimal medical psychotherapy | 0% | 84 | $0.00 |
| 3342F | 0% | 14 | $0.00 | |
| G8753 | Most recent systolic blood pressure >= 140 mmhg | 0% | 15 | $0.00 |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | 0% | 13 | $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.