Physician
Pou, Ricardo
Pou, Ricardo was paid $2.92M by Medicaid between Jan 2018 and Dec 2024, across 12 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 25% of everything it billed.
33Billing provider infoPOU, RICARDO
NEW YORK, NY 10032
NEW YORK, NY 10032
33aNPI1396847976assigned 09/02/2006
33bProvider typeGastroenterology Physician
28Total paid$2.92M
24GClaims32,146
24DCodes billed12
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Gastroenterology Physician providers in New York
Rank by total paid#22 of 656
Median peer was paid$12K
This provider vs. median240×
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 | 3,037 | $278K | |
| 2019 | 5,184 | $447K | |
| 2020 | 3,767 | $317K | |
| 2021 | 4,591 | $461K | |
| 2022 | 5,422 | $493K | |
| 2023 | 6,335 | $547K | |
| 2024incomplete | 3,810 | $375K |
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 | 25% | 13,803 | 12,916 | $732K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 24% | 8,843 | 8,803 | $700K |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | 21% | 4,609 | 4,584 | $615K |
| 45378 | Colonoscopy, flexible; diagnostic, including collection of specimen(s) | 8.6% | 1,351 | 1,347 | $250K |
| 45380 | Colonoscopy, flexible; with biopsy, single or multiple | 7.7% | 1,299 | 1,255 | $225K |
| G0121 | Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk | 7.5% | 1,338 | 1,337 | $220K |
| 45385 | Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) | 5.7% | 778 | 773 | $168K |
| 88305 | Level IV - Surgical pathology, gross and microscopic examination | <1% | 41 | 41 | $4K |
| 88342 | <1% | 24 | 24 | $2K | |
| G0105 | Colorectal cancer screening; colonoscopy on individual at high risk | <1% | 12 | 12 | $1K |
| 88312 | <1% | 24 | 24 | $623.52 | |
| 88313 | <1% | 24 | 24 | $298.51 |
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.