Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › RI › East Greenwich › NPI 1275502635
Physician

Pogacar, Peter

Pogacar, Peter was paid $322K by Medicaid between Jan 2018 and Aug 2022, across 21 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 44% of everything it billed.

33Billing provider infoPOGACAR, PETER
EAST GREENWICH, RI 02818
33aNPI1275502635assigned 03/16/2006
33bProvider typePediatrics Physician
28Total paid$322K
24GClaims7,639
24DCodes billed21
24AFirst – last monthJan 2018 – Aug 2022
Compared with peers

Next to other Pediatrics Physician providers in Rhode Island

Rank by total paid#69 of 265
Median peer was paid$133K
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$10K$20K2018201920202021202220232024
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
2018967$44K
20191,936$81K
20201,329$56K
20212,370$92K
20221,037$48K
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 44% 1,940 1,720 $142K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 26% 1,437 1,310 $84K
99215 Doctor's office visit, returning patient (complex)Prolong outpt/office vis 6.3% 228 186 $20K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 6.2% 233 229 $20K
90460 Immunization administration through 18 years of age via any route, first or only component 5.9% 851 800 $19K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 2.3% 213 191 $7K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 1.6% 232 189 $5K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 1.2% 43 43 $4K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) <1% 37 37 $3K
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel <1% 37 37 $3K
99050 <1% 100 97 $3K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 226 195 $2K
9 more codes
90461 <1% 60 $2K
96127 <1% 420 $2K
90686 <1% 1,026 $1K
0072A <1% 29 $1K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 81 $1K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe <1% 13 $990.79
99173 <1% 338 $722.54
E0700 Safety equipment, device or accessory, any type <1% 14 $175.00
1036F <1% 81 $111.25

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.