Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

J PEDRO FROMMER MD, PA

NPI: 1326067554 · HOUSTON, TX 77008 · Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician · NPI assigned 07/19/2006

$81K
Total Medicaid Paid
2,283
Total Claims
1,623
Beneficiaries
15
Codes Billed
2018-01
First Month
2023-05
Last Month

Provider Details

Authorized OfficialFROMMER, PEDRO (DIRECTOR)
NPI Enumeration Date07/19/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 613 $75.22
2019 220 $1K
2020 179 $5K
2021 894 $42K
2022 326 $26K
2023 51 $7K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
90960 End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits 893 888 $51K
99233 Prolong inpt eval add15 m 489 109 $17K
99232 Subsequent hospital care, per day, moderate complexity 284 81 $7K
99223 Prolong inpt eval add15 m 96 84 $6K
75710 27 25 $7.34
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 117 105 $0.00
G8731 Pain assessment using a standardized tool is documented as negative, no follow-up plan required 40 36 $0.00
G8482 Influenza immunization administered or previously received 49 41 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 15 12 $0.00
G9225 Foot exam was not performed, reason not given 14 12 $0.00
G9500 Radiation exposure indices documented in final report for procedure using fluoroscopy 16 13 $0.00
1111F 117 105 $0.00
1036F 86 75 $0.00
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 28 25 $0.00
93040 12 12 $0.00