Physician
Pedroza, Escipion
Pedroza, Escipion was paid $9K by Medicaid between Jan 2018 and Oct 2022, across 8 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 100% of everything it billed.
33Billing provider infoPEDROZA, ESCIPION
METAIRIE, LA 70006
METAIRIE, LA 70006
33aNPI1306807771assigned 03/28/2006
33bProvider typeEndocrinology, Diabetes & Metabolism Physician
28Total paid$9K
24GClaims2,461
24DCodes billed8
24AFirst – last monthJan 2018 – Oct 2022
Compared with peers
Next to other Endocrinology, Diabetes & Metabolism Physician providers in Louisiana
Rank by total paid#5 of 15
Median peer was paid$6K
This provider vs. median1.5×
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 | 1,111 | $2K | |
| 2019 | 625 | $3K | |
| 2020 | 215 | $1K | |
| 2021 | 303 | $2K | |
| 2022 | 207 | $2K |
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 | 100% | 1,299 | 1,035 | $9K |
| 99091 | <1% | 15 | 12 | $28.00 | |
| G9226 | Foot examination performed (includes examination through visual inspection, sensory exam with 10-g monofilament plus testing any one of the following: vibration using 128-hz tuning fork, pinprick sensation, ankle reflexes, or vibration perception threshold, and pulse exam; report when all of the 3 components are completed) | 0% | 266 | 221 | $0.00 |
| 1036F | 0% | 252 | 210 | $0.00 | |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 231 | 186 | $0.00 |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 0% | 136 | 105 | $0.00 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 234 | 187 | $0.00 |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 28 | 24 | $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.