Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Pons Physician Services, PLLC

Pons Physician Services, PLLC was paid $173K by Medicaid between Jan 2018 and Oct 2024, across 6 billing codes. Its largest line is 11042, Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm — 81% of everything it billed.

33Billing provider infoPONS PHYSICIAN SERVICES, PLLC
CORTLAND, NY 13045
33aNPI1457732554assigned 06/15/2015
28Total paid$173K
24GClaims5,381
24DCodes billed6
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers

Next to other Emergency Medicine Physician providers in New York

Rank by total paid#112 of 2,113
Median peer was paid$5K
This provider vs. median38×

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.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

Entity ProliferationAuthorized official WILLIAMS, FRANK controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$2.5K$5.0K$7.5K2018201920202021202220232024
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
YearClaimsPaid
2018318$12K
2019729$28K
2020361$14K
2021888$26K
20221,081$27K
20231,491$51K
2024incomplete513$15K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm 81% 4,330 2,160 $140K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 13% 656 404 $23K
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 4.0% 260 169 $7K
99215 Doctor's office visit, returning patient (complex)Prolong outpt/office vis <1% 24 15 $2K
97597 <1% 65 41 $979.03
99406 <1% 46 26 $82.23

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 officialWILLIAMS, FRANK (CEO)
Same official

Other billing entities under WILLIAMS, FRANK

Full network →

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.