Physician
Ramirez, Mark
Ramirez, Mark was paid $2K by Medicaid between Jan 2018 and Jan 2023, across 33 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 40% of everything it billed.
33Billing provider infoRAMIREZ, MARK
HEMET, CA 92543
HEMET, CA 92543
33aNPI1053474528assigned 12/18/2006
33bProvider typeFamily Medicine Physician
28Total paid$2K
24GClaims6,758
24DCodes billed33
24AFirst – last monthJan 2018 – Jan 2023
Compared with peers
Next to other Family Medicine Physician providers in California
Rank by total paid#1,746 of 2,511
Median peer was paid$13K
This provider vs. median0.1×
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 | 1,448 | $558.36 | |
| 2019 | 1,700 | $219.93 | |
| 2020 | 836 | $52.18 | |
| 2021 | 751 | $332.59 | |
| 2022 | 1,705 | $419.57 | |
| 2023 | 318 | $37.12 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 40% | 2,066 | 1,955 | $649.92 |
| 90688 | 30% | 40 | 35 | $483.53 | |
| 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 | 25% | 1,039 | 1,006 | $411.75 |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 3.5% | 13 | 13 | $56.63 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.1% | 42 | 41 | $17.92 |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 0% | 101 | 95 | $0.00 |
| 3074F | 0% | 284 | 277 | $0.00 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 0% | 109 | 107 | $0.00 |
| 80053 | Comprehensive metabolic panel | 0% | 149 | 143 | $0.00 |
| 83036 | Hemoglobin; glycosylated (A1C) | 0% | 108 | 106 | $0.00 |
| 1126F | 0% | 186 | 185 | $0.00 | |
| 3008F | 0% | 258 | 256 | $0.00 |
21 more codes
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 191 | $0.00 |
| 36415 | Collection of venous blood by venipuncture | 0% | 230 | $0.00 |
| 1125F | 0% | 24 | $0.00 | |
| 84443 | Thyroid stimulating hormone (TSH) | 0% | 58 | $0.00 |
| 3075F | 0% | 47 | $0.00 | |
| 1036F | 0% | 198 | $0.00 | |
| 3079F | 0% | 27 | $0.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 14 | $0.00 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 292 | $0.00 |
| 1159F | 0% | 220 | $0.00 | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 0% | 96 | $0.00 |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 68 | $0.00 |
| 3078F | 0% | 311 | $0.00 | |
| 1160F | 0% | 220 | $0.00 | |
| 80061 | Lipid panel | 0% | 72 | $0.00 |
| 1158F | 0% | 49 | $0.00 | |
| 0521F | 0% | 12 | $0.00 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 0% | 19 | $0.00 |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 0% | 185 | $0.00 |
| G9920 | Screening performed and negative | 0% | 15 | $0.00 |
| 90472 | Immunization administration, each additional vaccine (list separately) | 0% | 15 | $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.