Physician
J Pedro Frommer MD, PA
J Pedro Frommer MD, PA was paid $81K by Medicaid between Jan 2018 and May 2023, across 15 billing codes. Its largest line is 90960, End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits — 63% of everything it billed.
33Billing provider infoJ PEDRO FROMMER MD, PA
HOUSTON, TX 77008
HOUSTON, TX 77008
33aNPI1326067554assigned 07/19/2006
33bProvider typeThoracic Surgery (Cardiothoracic Vascular Surgery) Physician
28Total paid$81K
24GClaims2,283
24DCodes billed15
24AFirst – last monthJan 2018 – May 2023
Compared with peers
Next to other Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician providers in Texas
Rank by total paid#3 of 9
Median peer was paid$36K
This provider vs. median2.2×
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 | 613 | $75.22 | |
| 2019 | 220 | $1K | |
| 2020 | 179 | $5K | |
| 2021 | 894 | $42K | |
| 2022 | 326 | $26K | |
| 2023 | 51 | $7K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 90960 | End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits | 63% | 893 | 888 | $51K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 21% | 489 | 109 | $17K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 8.4% | 284 | 81 | $7K |
| 99223 | Prolong inpt eval add15 m | 7.1% | 96 | 84 | $6K |
| 75710 | <1% | 27 | 25 | $7.34 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 117 | 105 | $0.00 |
| G8731 | Pain assessment using a standardized tool is documented as negative, no follow-up plan required | 0% | 40 | 36 | $0.00 |
| G8482 | Influenza immunization administered or previously received | 0% | 49 | 41 | $0.00 |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 15 | 12 | $0.00 |
| G9225 | Foot exam was not performed, reason not given | 0% | 14 | 12 | $0.00 |
| G9500 | Radiation exposure indices documented in final report for procedure using fluoroscopy | 0% | 16 | 13 | $0.00 |
| 1111F | 0% | 117 | 105 | $0.00 |
3 more codes
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 officialFROMMER, PEDRO (DIRECTOR)