Palmiery, Ponciano

Palmiery, Ponciano was paid $112K by Medicaid between Feb 2018 and May 2024, across 22 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 58% of everything it billed.

33Billing provider infoPALMIERY, PONCIANO
HARRISON, NJ 07029

33aNPI1114005329assigned 11/02/2006

33bProvider typePediatrics Physician

28Total paid$112K

24GClaims3,616

24DCodes billed22

24AFirst – last monthFeb 2018 – May 2024

Compared with peers

Next to other Pediatrics Physician providers in New Jersey

Rank by total paid#296 of 549

Median peer was paid$154K

This provider vs. median0.7×

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	2,943	$99K
2019	100	$3K
2023	127	$2K
2024incomplete	446	$8K

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	58%	1,303	1,153	$65K
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	18%	274	253	$20K
90460	Immunization administration through 18 years of age via any route, first or only component	5.6%	298	286	$6K
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	4.1%	385	376	$5K
90472	Immunization administration, each additional vaccine (list separately)	2.7%	170	170	$3K
99394	Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years)	2.6%	69	69	$3K
99393	Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years)	2.5%	66	65	$3K
99392	Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years)	1.5%	28	28	$2K
90651		1.0%	48	46	$1K
90677		<1%	13	13	$1K
90461		<1%	95	93	$862.61
G0270	Medical nutrition therapy; reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition or treatment regimen (including additional hours needed for renal disease), individual, face to face with the patient, each 15 minutes	<1%	165	165	$819.85

10 more codes

87880	Infectious agent antigen detection by immunoassay; Streptococcus, group A	<1%	57	$682.93
90620		<1%	13	$658.82
36415	Collection of venous blood by venipuncture	<1%	292	$464.40
G0447	Face-to-face behavioral counseling for obesity, 15 minutes	<1%	120	$181.92
90734		<1%	13	$148.49
90686		<1%	66	$126.96
90633		<1%	27	$75.89
90656		<1%	12	$61.80
86580		<1%	14	$60.40
99173		<1%	88	$58.00

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.