Pramenko, John

Pramenko, John was paid $5K by Medicaid between Mar 2019 and Aug 2024, across 3 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 92% of everything it billed.

33Billing provider infoPRAMENKO, JOHN
NISKAYUNA, NY 12309

33aNPI1477529048assigned 02/24/2006

33bProvider typeFamily Medicine Physician

28Total paid$5K

24GClaims136

24DCodes billed3

24AFirst – last monthMar 2019 – Aug 2024

Compared with peers

Next to other Family Medicine Physician providers in New York

Rank by total paid#1,578 of 2,605

Median peer was paid$10K

This provider vs. median0.5×

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
2019	47	$2K
2020	62	$3K
2022	14	$357.45
2024incomplete	13	$15.49

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	92%	109	96	$5K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	7.2%	14	13	$357.45
G2211	Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established)	<1%	13	12	$15.49

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.