Physician
Pedro Romaguera, Apmc
Pedro Romaguera, Apmc was paid $324K by Medicaid between Jan 2018 and Dec 2024, across 51 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 43% of everything it billed.
33Billing provider infoPEDRO ROMAGUERA, APMC
METAIRIE, LA 70006
METAIRIE, LA 70006
33aNPI1255593166assigned 07/01/2008
33bProvider typeInternal Medicine Physician
28Total paid$324K
24GClaims29,703
24DCodes billed51
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Internal Medicine Physician providers in Louisiana
Rank by total paid#56 of 290
Median peer was paid$27K
This provider vs. median12×
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 | 1,860 | $32K | |
| 2019 | 1,231 | $22K | |
| 2020 | 1,797 | $34K | |
| 2021 | 4,320 | $70K | |
| 2022 | 5,605 | $83K | |
| 2023 | 9,342 | $47K | |
| 2024incomplete | 5,548 | $37K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 43% | 4,147 | 3,167 | $140K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 18% | 2,447 | 1,855 | $59K |
| 99223 | Prolong inpt eval add15 m | 10% | 658 | 559 | $32K |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | 7.1% | 3,669 | 2,540 | $23K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 5.1% | 989 | 382 | $16K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 3.7% | 244 | 183 | $12K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 3.1% | 533 | 438 | $10K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 2.5% | 175 | 130 | $8K |
| 99454 | <1% | 204 | 160 | $3K | |
| 99457 | <1% | 204 | 160 | $3K | |
| 87428 | <1% | 47 | 40 | $2K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 1,942 | 1,394 | $2K |
39 more codes
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 396 | $2K |
| 99401 | <1% | 249 | $1K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 109 | $1K |
| 93000 | <1% | 119 | $1K | |
| 99349 | <1% | 60 | $1K | |
| 90756 | <1% | 68 | $1K | |
| 94010 | <1% | 71 | $1K | |
| 90686 | <1% | 69 | $818.67 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 118 | $580.92 |
| 99050 | <1% | 47 | $574.64 | |
| 81002 | <1% | 502 | $478.14 | |
| 82962 | <1% | 266 | $347.76 | |
| 96127 | <1% | 595 | $263.23 | |
| 3074F | <1% | 978 | $215.38 | |
| 3078F | <1% | 1,198 | $210.55 | |
| 3044F | <1% | 292 | $205.04 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 67 | $176.02 |
| 96160 | <1% | 535 | $154.31 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 34 | $101.91 |
| 99308 | Subsequent nursing facility care, per day, straightforward | <1% | 120 | $83.66 |
| 99422 | <1% | 18 | $73.77 | |
| 3077F | <1% | 423 | $60.28 | |
| 3079F | <1% | 282 | $57.57 | |
| 1160F | <1% | 2,889 | $52.50 | |
| 1159F | <1% | 3,054 | $52.50 | |
| 3075F | <1% | 238 | $42.53 | |
| 1036F | <1% | 689 | $30.00 | |
| G0442 | Annual alcohol misuse screening, 5 to 15 minutes | <1% | 198 | $29.50 |
| H0049 | Alcohol and/or drug screening | <1% | 65 | $20.00 |
| 81003 | <1% | 37 | $11.20 | |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | <1% | 16 | $6.38 |
| 3080F | <1% | 41 | $0.03 | |
| G0444 | Annual depression screening, 5 to 15 minutes | 0% | 16 | $0.00 |
| 99497 | 0% | 13 | $0.00 | |
| 1126F | 0% | 73 | $0.00 | |
| 1125F | 0% | 416 | $0.00 | |
| 3008F | 0% | 45 | $0.00 | |
| G0008 | Administration of influenza virus vaccine | 0% | 23 | $0.00 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 0% | 15 | $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 officialPATRON, MARIE (OFFICE MANAGER)
| Provider | Location | Paid |
|---|---|---|
| Pma Medical Treatment Centers, LLC | Kenner, LA | $32K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.