San Pedro, Elmer

San Pedro, Elmer was paid $2K by Medicaid between Jan 2018 and Oct 2018, across 2 billing codes. Its largest line is 71045, Radiologic examination, chest; single view — 55% of everything it billed.

33Billing provider infoSAN PEDRO, ELMER
SOUTH BOSTON, VA 24592

33aNPI1174532535assigned 08/05/2006

33bProvider typeDiagnostic Radiology Physician

28Total paid$2K

24GClaims635

24DCodes billed2

24AFirst – last monthJan 2018 – Oct 2018

Compared with peers

Next to other Diagnostic Radiology Physician providers in Virginia

Rank by total paid#89 of 247

Median peer was paid$865.84

This provider vs. median2.7×

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	635	$2K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
71045	Radiologic examination, chest; single view	55%	360	200	$1K
71046	Radiologic examination, chest; 2 views	45%	275	135	$1K

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.