Physician
Julio A. Ramirez, M.D., P.C.
Julio A. Ramirez, M.D., P.C. was paid $2.20M by Medicaid between Oct 2018 and Apr 2024, across 47 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 35% of everything it billed.
33Billing provider infoJULIO A. RAMIREZ, M.D., P.C.
CHESTERTOWN, MD 21620
CHESTERTOWN, MD 21620
33aNPI1326093287assigned 05/22/2006
33bProvider typePediatrics Physician
28Total paid$2.20M
24GClaims54,879
24DCodes billed47
24AFirst – last monthOct 2018 – Apr 2024
Compared with peers
Next to other Pediatrics Physician providers in Maryland
Rank by total paid#55 of 306
Median peer was paid$206K
This provider vs. median11×
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 | 16 | $320.48 | |
| 2020 | 15,112 | $505K | |
| 2021 | 12,341 | $478K | |
| 2022 | 11,801 | $508K | |
| 2023 | 12,086 | $538K | |
| 2024incomplete | 3,523 | $173K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 35% | 10,271 | 7,360 | $762K |
| 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 | 15% | 3,262 | 2,477 | $339K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 9.5% | 2,084 | 1,862 | $209K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 8.2% | 1,747 | 1,599 | $180K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 7.3% | 1,843 | 1,510 | $162K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 6.6% | 1,346 | 1,225 | $145K |
| 92552 | 3.7% | 3,863 | 3,523 | $81K | |
| 90686 | 1.8% | 1,969 | 1,708 | $41K | |
| 90648 | 1.4% | 1,578 | 1,320 | $31K | |
| 90670 | 1.3% | 1,423 | 1,192 | $29K | |
| 90723 | 1.0% | 1,133 | 938 | $22K | |
| 90680 | <1% | 942 | 773 | $18K |
35 more codes
| 96127 | <1% | 2,983 | $16K | |
| 90677 | <1% | 128 | $16K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 1,655 | $14K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 1,186 | $12K |
| 90633 | <1% | 635 | $12K | |
| 90707 | <1% | 577 | $11K | |
| 90716 | <1% | 562 | $11K | |
| 90700 | <1% | 529 | $11K | |
| 81002 | <1% | 3,600 | $9K | |
| 90688 | <1% | 476 | $9K | |
| W7000 | <1% | 1,500 | $7K | |
| 0001A | <1% | 189 | $7K | |
| 99173 | <1% | 3,845 | $7K | |
| 0002A | <1% | 164 | $6K | |
| 90734 | <1% | 253 | $5K | |
| 96161 | <1% | 2,512 | $5K | |
| 90715 | <1% | 188 | $4K | |
| 90651 | <1% | 181 | $4K | |
| 99381 | <1% | 29 | $3K | |
| 90619 | <1% | 84 | $2K | |
| 92567 | <1% | 166 | $2K | |
| 90621 | <1% | 51 | $2K | |
| 0071A | <1% | 59 | $2K | |
| 90713 | <1% | 101 | $2K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 14 | $2K |
| 94760 | <1% | 945 | $794.56 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 61 | $688.30 |
| 80061 | Lipid panel | <1% | 43 | $525.60 |
| 0072A | <1% | 19 | $360.22 | |
| 83655 | <1% | 23 | $243.75 | |
| 82947 | <1% | 54 | $196.86 | |
| 36416 | 0% | 76 | $0.00 | |
| INVCD | 0% | 75 | $0.00 | |
| 91307 | 0% | 113 | $0.00 | |
| 91300 | 0% | 342 | $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.
From NPPES
Who's on the registration
Authorized officialRAMIREZ, JULIO (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| Jerome Medical Office, PC | Bronx, NY | $251K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.