Sylvester G Ramirez MD PLLC

Sylvester G Ramirez MD PLLC was paid $22K by Medicaid between Jan 2021 and Jun 2024, across 3 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 58% of everything it billed.

33Billing provider infoSYLVESTER G RAMIREZ MD PLLC
KERRVILLE, TX 78028

33aNPI1164831327assigned 08/12/2014

33bProvider typeOtolaryngology Physician

28Total paid$22K

24GClaims626

24DCodes billed3

24AFirst – last monthJan 2021 – Jun 2024

Compared with peers

Next to other Otolaryngology Physician providers in Texas

Rank by total paid#46 of 68

Median peer was paid$55K

This provider vs. median0.4×

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
2021	71	$2K
2022	241	$7K
2023	240	$9K
2024incomplete	74	$3K

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%	428	383	$12K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	31%	139	136	$7K
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	11%	59	53	$2K

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 officialRAMIREZ, SYLVESTER (PRESIDENT/OWNER/MD)