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

Aguilar, Pedro

Aguilar, Pedro was paid $15K by Medicaid between Mar 2021 and Sep 2024, across 6 billing codes. Its largest line is 99203, doctor's office visit, new patient (routine) — 52% of everything it billed.

33Billing provider infoAGUILAR, PEDRO
CLAIRTON, PA 15025
33aNPI1245374602assigned 02/19/2007
28Total paid$15K
24GClaims597
24DCodes billed6
24AFirst – last monthMar 2021 – Sep 2024
Compared with peers

Next to other Neurological Surgery Physician providers in Pennsylvania

Rank by total paid#12 of 39
Median peer was paid$6K
This provider vs. median2.4×

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

$0$500$1.0K$1.5K2018201920202021202220232024
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
2021114$2K
2022220$5K
2023152$3K
2024incomplete111$5K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 52% 175 175 $8K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 48% 262 256 $7K
3008F 0% 73 73 $0.00
3080F 0% 47 45 $0.00
3079F 0% 13 13 $0.00
3077F 0% 27 26 $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.