Physician
DR. Ricardo E Pou Physician P.C.
DR. Ricardo E Pou Physician P.C. was paid $624K by Medicaid between Jan 2018 and Nov 2024, across 8 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 27% of everything it billed.
33Billing provider infoDR. RICARDO E POU PHYSICIAN P.C.
NEW YORK, NY 10025
NEW YORK, NY 10025
33aNPI1396922563assigned 01/29/2008
33bProvider typeGastroenterology Physician
28Total paid$624K
24GClaims7,429
24DCodes billed8
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Gastroenterology Physician providers in New York
Rank by total paid#72 of 656
Median peer was paid$12K
This provider vs. median51×
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 | 226 | $19K | |
| 2019 | 254 | $24K | |
| 2020 | 464 | $47K | |
| 2021 | 1,487 | $124K | |
| 2022 | 1,781 | $141K | |
| 2023 | 1,549 | $143K | |
| 2024incomplete | 1,668 | $126K |
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 | 27% | 1,859 | 1,765 | $168K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 27% | 1,386 | 1,386 | $166K |
| 88305 | Level IV - Surgical pathology, gross and microscopic examination | 18% | 1,144 | 1,139 | $112K |
| 88342 | 9.3% | 856 | 856 | $58K | |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | 8.1% | 339 | 339 | $50K |
| 45378 | Colonoscopy, flexible; diagnostic, including collection of specimen(s) | 4.8% | 147 | 147 | $30K |
| 88312 | 3.6% | 844 | 844 | $22K | |
| 88313 | 2.7% | 854 | 854 | $17K |
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 officialPOU, RICARDO (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| Manhattan West Side Medical Services PLLC | New York, NY | $62K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.