Physician
Ramon A. Pineda MD PA
Ramon A. Pineda MD PA was paid $122K by Medicaid between Jan 2018 and Apr 2024, across 23 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 72% of everything it billed.
33Billing provider infoRAMON A. PINEDA MD PA
PASADENA, TX 77502
PASADENA, TX 77502
33aNPI1114319910assigned 03/03/2015
33bProvider typeInternal Medicine Physician
28Total paid$122K
24GClaims10,299
24DCodes billed23
24AFirst – last monthJan 2018 – Apr 2024
Compared with peers
Next to other Internal Medicine Physician providers in Texas
Rank by total paid#198 of 1,028
Median peer was paid$10K
This provider vs. median12×
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 | 960 | $8K | |
| 2019 | 973 | $5K | |
| 2020 | 1,090 | $12K | |
| 2021 | 1,715 | $24K | |
| 2022 | 2,285 | $30K | |
| 2023 | 3,033 | $38K | |
| 2024incomplete | 243 | $6K |
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 | 72% | 3,055 | 2,571 | $88K |
| 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 | 14% | 387 | 341 | $17K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 6.0% | 747 | 586 | $7K |
| 99000 | 6.0% | 1,446 | 1,366 | $7K | |
| 81002 | 1.2% | 1,192 | 1,112 | $2K | |
| 93000 | <1% | 88 | 77 | $585.00 | |
| 82947 | <1% | 291 | 258 | $348.09 | |
| 90688 | <1% | 39 | 38 | $211.52 | |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 422 | 364 | $118.23 |
| 3078F | 0% | 470 | 413 | $0.00 | |
| 3725F | 0% | 14 | 12 | $0.00 | |
| 1090F | 0% | 28 | 24 | $0.00 |
11 more codes
| 90756 | 0% | 24 | $0.00 | |
| 3288F | 0% | 14 | $0.00 | |
| Q2035 | Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (afluria) | 0% | 14 | $0.00 |
| 36415 | Collection of venous blood by venipuncture | 0% | 1,258 | $0.00 |
| 3074F | 0% | 552 | $0.00 | |
| 3079F | 0% | 110 | $0.00 | |
| G0008 | Administration of influenza virus vaccine | 0% | 93 | $0.00 |
| 1111F | 0% | 13 | $0.00 | |
| 1170F | 0% | 15 | $0.00 | |
| J0697 | Injection, sterile cefuroxime sodium, per 750 mg | 0% | 15 | $0.00 |
| 82044 | 0% | 12 | $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.
From NPPES
Who's on the registration
Authorized officialPINEDA, RAMON (DOCTOR)