Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Andrew C Pederzolli MD INC

Andrew C Pederzolli MD INC was paid $80K by Medicaid between Jan 2018 and Nov 2024, across 4 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 54% of everything it billed.

33Billing provider infoANDREW C PEDERZOLLI MD INC
SALEM, OH 44460
33aNPI1184697294assigned 02/09/2006
33bProvider typeOphthalmology Physician
28Total paid$80K
24GClaims3,272
24DCodes billed4
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers

Next to other Ophthalmology Physician providers in Ohio

Rank by total paid#40 of 155
Median peer was paid$10K
This provider vs. median7.7×

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

$0$1.0K$2.0K$3.0K2018201920202021202220232024
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
YearClaimsPaid
2018650$15K
2019579$13K
2020457$10K
2021535$13K
2022482$12K
2023224$6K
2024incomplete345$11K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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 54% 1,347 1,264 $43K
92015 Determination of refractive state 21% 1,178 1,110 $17K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 17% 643 509 $13K
99204 Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 8.2% 104 94 $7K

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 officialPEDERZOLLI, ANDREW (OWNER)