Physician
Pramod Joseph MD LLC
Pramod Joseph MD LLC was paid $107K by Medicaid between Jan 2018 and Sep 2024, across 11 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 33% of everything it billed.
33Billing provider infoPRAMOD JOSEPH MD LLC
FORT PIERCE, FL 34950
FORT PIERCE, FL 34950
33aNPI1215314018assigned 04/30/2015
33bProvider typeGastroenterology Physician
28Total paid$107K
24GClaims5,157
24DCodes billed11
24AFirst – last monthJan 2018 – Sep 2024
Compared with peers
Next to other Gastroenterology Physician providers in Florida
Rank by total paid#36 of 166
Median peer was paid$27K
This provider vs. median3.9×
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 | |
|---|---|---|---|
| 2018 | 362 | $3K | |
| 2019 | 1,027 | $15K | |
| 2020 | 1,063 | $21K | |
| 2021 | 1,284 | $30K | |
| 2022 | 750 | $21K | |
| 2023 | 515 | $12K | |
| 2024incomplete | 156 | $4K |
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 | 33% | 2,061 | 1,703 | $35K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 27% | 572 | 510 | $28K |
| 99222 | Initial hospital care, per day, moderate complexity | 22% | 903 | 694 | $24K |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | 11% | 276 | 223 | $12K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 3.6% | 619 | 254 | $4K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 2.2% | 120 | 56 | $2K |
| 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 | <1% | 49 | 41 | $977.55 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 220 | 154 | $0.00 |
| G8430 | Documentation of a medical reason(s) for not documenting, updating, or reviewing the patient's current medications list (e.g., patient is in an acute health crisis where time is of the essence and delay of treatment would jeopardize the patient's health status) | 0% | 281 | 191 | $0.00 |
| G9903 | Patient screened for tobacco use and identified as a tobacco non-user | 0% | 38 | 26 | $0.00 |
| 1111F | 0% | 18 | 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 officialJOSEPH, PRAMOD (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| Pramod Joseph Hospital Practice LLC | Fort Pierce, FL | $25K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.