Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Pekala, Raymond

Pekala, Raymond was paid $6K by Medicaid between Apr 2018 and Sep 2024, across 4 billing codes. Its largest line is 92015, Determination of refractive state — 36% of everything it billed.

33Billing provider infoPEKALA, RAYMOND
HADDON HEIGHTS, NJ 08035
33aNPI1033156344assigned 06/02/2006
33bProvider typeOphthalmology Physician
28Total paid$6K
24GClaims335
24DCodes billed4
24AFirst – last monthApr 2018 – Sep 2024
Compared with peers

Next to other Ophthalmology Physician providers in New Jersey

Rank by total paid#125 of 213
Median peer was paid$20K
This provider vs. median0.3×

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

$0$250$500$7502018201920202021202220232024
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
YearClaimsPaid
201812$206.87
202147$1K
202259$1K
2023108$2K
2024incomplete109$2K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
92015 Determination of refractive state 36% 158 151 $2K
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 34% 73 71 $2K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 29% 85 81 $2K
92134 1.3% 19 15 $75.51

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.