Physician
Albuja Ponce, Ana
Albuja Ponce, Ana was paid $170K by Medicaid between Oct 2018 and Aug 2022, across 5 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 63% of everything it billed.
33Billing provider infoALBUJA PONCE, ANA
PROVIDENCE, RI 02903
PROVIDENCE, RI 02903
33aNPI1336581347assigned 07/19/2013
28Total paid$170K
24GClaims1,293
24DCodes billed5
24AFirst – last monthOct 2018 – Aug 2022
Compared with peers
Next to other Neurology with Special Qualifications in Child Neurology Physician providers in Rhode Island
Rank by total paid#3 of 7
Median peer was paid$122K
This provider vs. median1.4×
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 | 100 | $11K | |
| 2019 | 272 | $33K | |
| 2020 | 441 | $54K | |
| 2021 | 466 | $69K | |
| 2022 | 14 | $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 | 63% | 796 | 706 | $107K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 19% | 176 | 166 | $32K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 12% | 206 | 196 | $20K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 4.7% | 101 | 99 | $8K |
| 99222 | Initial hospital care, per day, moderate complexity | 1.3% | 14 | 12 | $2K |
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.