Ramon Resa

Ramon Resa was paid $42K by Medicaid between Jan 2018 and Jun 2019, across 23 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 48% of everything it billed.

33Billing provider infoRAMON RESA
PORTERVILLE, CA 93257

33aNPI1376663955assigned 03/29/2007

33bProvider typePediatrics Physician

28Total paid$42K

24GClaims4,520

24DCodes billed23

24AFirst – last monthJan 2018 – Jun 2019

Compared with peers

Next to other Pediatrics Physician providers in California

Rank by total paid#609 of 1,490

Median peer was paid$15K

This provider vs. median2.8×

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	2,342	$15K
2019	2,178	$28K

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	48%	1,425	1,287	$20K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	17%	954	896	$7K
85018		7.5%	442	441	$3K
99392	Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years)	5.7%	257	256	$2K
92551		4.3%	375	374	$2K
99215	Doctor's office visit, returning patient (complex)Prolong outpt/office vis	3.4%	68	66	$1K
92081		3.3%	213	213	$1K
90688		2.0%	94	94	$852.85
81000		1.5%	139	138	$623.71
99393	Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years)	1.4%	166	166	$597.79
83518		1.4%	57	55	$579.11
99391	Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year)	1.1%	41	41	$475.15

11 more codes

92082		<1%	58	$318.26
90680		<1%	15	$214.89
90633		<1%	12	$179.74
86580		<1%	26	$177.56
90685		<1%	14	$125.87
96110	Developmental screening, with scoring and documentation, per standardized instrument	<1%	12	$108.99
90670		<1%	19	$77.63
90698		<1%	15	$68.63
90651		<1%	13	$18.00
3074F		0%	13	$0.00
88738		0%	92	$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 officialROWELL, SIRLEY (OFFICE MANAGER)