Physician
Pontzer, Raymond
Pontzer, Raymond was paid $23K by Medicaid between Dec 2020 and Mar 2024, across 2 billing codes. Its largest line is 99232, hospital visit by a doctor, follow-up day — 98% of everything it billed.
33Billing provider infoPONTZER, RAYMOND
PITTSBURGH, PA 15237
PITTSBURGH, PA 15237
33aNPI1144262031assigned 06/12/2006
33bProvider typeInfectious Disease Physician
28Total paid$23K
24GClaims844
24DCodes billed2
24AFirst – last monthDec 2020 – Mar 2024
Compared with peers
Next to other Infectious Disease Physician providers in Pennsylvania
Rank by total paid#45 of 87
Median peer was paid$26K
This provider vs. median0.9×
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 | |
|---|---|---|---|
| 2020 | 22 | $306.40 | |
| 2021 | 263 | $6K | |
| 2022 | 380 | $10K | |
| 2023 | 131 | $4K | |
| 2024incomplete | 48 | $2K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 98% | 826 | 416 | $22K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 2.4% | 18 | 14 | $563.54 |
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.