Roberto Ponce MD PA

Roberto Ponce MD PA was paid $5K by Medicaid between Feb 2018 and Jun 2020, across 7 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 27% of everything it billed.

33Billing provider infoROBERTO PONCE MD PA
BROWNSVILLE, TX 78526

33aNPI1124125869assigned 09/17/2006

33bProvider typeGastroenterology Physician

28Total paid$5K

24GClaims413

24DCodes billed7

24AFirst – last monthFeb 2018 – Jun 2020

Compared with peers

Next to other Gastroenterology Physician providers in Texas

Rank by total paid#57 of 91

Median peer was paid$8K

This provider vs. median0.6×

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	188	$2K
2019	181	$2K
2020	44	$909.09

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	27%	88	85	$1K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	25%	67	67	$1K
45378	Colonoscopy, flexible; diagnostic, including collection of specimen(s)	25%	64	58	$1K
43239	Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple	22%	110	108	$1K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	<1%	44	42	$43.80
99222	Initial hospital care, per day, moderate complexity	0%	27	27	$0.00
1036F		0%	13	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.

From NPPES

Who's on the registration

Authorized officialPONCE, ROBERTO (PRESIDENT)