Pruneda, Raymond
Pruneda, Raymond was paid $714K by Medicaid between Aug 2018 and Mar 2020, across 8 billing codes. Its largest line is V5256, Hearing aid, digital, monaural, ite — 70% of everything it billed.
33Billing provider infoPRUNEDA, RAYMOND
EDINBURG, TX 78539
EDINBURG, TX 78539
33aNPI1225398837assigned 05/17/2012
33bProvider typeAudiologist-Hearing Aid Fitter
28Total paid$714K
24GClaims3,586
24DCodes billed8
24AFirst – last monthAug 2018 – Mar 2020
Compared with peers
Next to other Audiologist-Hearing Aid Fitter providers in Texas
Rank by total paid#1 of 10
Median peer was paid$14K
This provider vs. median50×
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 | 1,660 | $355K | |
| 2019 | 1,898 | $359K | |
| 2020 | 28 | $783.20 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| V5256 | Hearing aid, digital, monaural, ite | 70% | 401 | 400 | $500K |
| V5241 | Dispensing fee, monaural hearing aid, any type | 13% | 492 | 491 | $95K |
| V5011 | Fitting/orientation/checking of hearing aid | 4.4% | 491 | 490 | $32K |
| V5010 | Assessment for hearing aid | 4.2% | 669 | 669 | $30K |
| V5257 | Hearing aid, digital, monaural, bte | 2.6% | 15 | 15 | $19K |
| V5264 | Ear mold/insert, not disposable, any type | 2.6% | 486 | 485 | $19K |
| V5275 | Ear impression, each | 1.7% | 495 | 494 | $12K |
| 92592 | 1.1% | 537 | 525 | $8K |
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.