Physician
Jimenez Almonte, Dorka
Jimenez Almonte, Dorka was paid $316K by Medicaid between Jul 2018 and Nov 2024, across 3 billing codes. Its largest line is 99284, emergency room visit (serious) — 72% of everything it billed.
33Billing provider infoJIMENEZ ALMONTE, DORKA
SPRINGFIELD, MA 01107
SPRINGFIELD, MA 01107
33aNPI1316117021assigned 03/10/2008
33bProvider typePediatric Emergency Medicine (Pediatrics) Physician
28Total paid$316K
24GClaims3,942
24DCodes billed3
24AFirst – last monthJul 2018 – Nov 2024
Compared with peers
Next to other Pediatric Emergency Medicine (Pediatrics) Physician providers in Massachusetts
Rank by total paid#5 of 38
Median peer was paid$13K
This provider vs. median25×
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 | 275 | $24K | |
| 2019 | 727 | $62K | |
| 2020 | 266 | $22K | |
| 2021 | 653 | $50K | |
| 2022 | 856 | $69K | |
| 2023 | 649 | $52K | |
| 2024incomplete | 516 | $37K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 72% | 2,567 | 2,553 | $228K |
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 17% | 1,115 | 1,112 | $54K |
| 99285 | Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life | 11% | 260 | 257 | $34K |
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.