Jose Ponce De Leon MD Corp

Jose Ponce De Leon MD Corp was paid $56K by Medicaid between Jan 2018 and Nov 2022, across 8 billing codes. Its largest line is 99204, doctor's office visit, new patient (more involved) — 35% of everything it billed.

33Billing provider infoJOSE PONCE DE LEON MD CORP
MIAMI, FL 33165

33aNPI1528251253assigned 08/27/2007

33bProvider typeOrthopaedic Surgery Physician

28Total paid$56K

24GClaims2,985

24DCodes billed8

24AFirst – last monthJan 2018 – Nov 2022

Compared with peers

Next to other Orthopaedic Surgery Physician providers in Florida

Rank by total paid#32 of 104

Median peer was paid$7K

This provider vs. median8.1×

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	315	$920.54
2019	1,065	$16K
2020	566	$12K
2021	662	$14K
2022	377	$13K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99204	Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity	35%	316	308	$19K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	26%	1,461	1,236	$15K
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	16%	404	293	$9K
20610		14%	234	180	$8K
73560		7.3%	146	89	$4K
76881		1.3%	20	16	$743.54
72100		<1%	27	25	$280.88
J3301	Injection, triamcinolone acetonide, not otherwise specified, 10 mg	<1%	377	317	$235.64

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 officialPONCE DE LEON, JOSE (OWNER)