Pons, Roger

Pons, Roger was paid $11K by Medicaid between Mar 2024 and Oct 2024, across 3 billing codes. Its largest line is 11042, Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm — 58% of everything it billed.

33Billing provider infoPONS, ROGER
HERRIN, IL 62948

33aNPI1548217383assigned 05/27/2006

33bProvider typeSurgery Physician

28Total paid$11K

24GClaims258

24DCodes billed3

24AFirst – last monthMar 2024 – Oct 2024

Compared with peers

Next to other Surgery Physician providers in Illinois

Rank by total paid#155 of 422

Median peer was paid$5K

This provider vs. median2.2×

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
2024incomplete	258	$11K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
11042	Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm	58%	162	113	$6K
99215	Doctor's office visit, returning patient (complex)Prolong outpt/office vis	31%	57	45	$3K
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	11%	39	28	$1K

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.