Physician
Ponce, Aida
Ponce, Aida was paid $386K by Medicaid between Jan 2018 and Feb 2022, across 23 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 37% of everything it billed.
33Billing provider infoPONCE, AIDA
SAGINAW, MI 48638
SAGINAW, MI 48638
33aNPI1598714396assigned 05/09/2006
33bProvider typePediatric Adolescent Medicine Physician
28Total paid$386K
24GClaims11,735
24DCodes billed23
24AFirst – last monthJan 2018 – Feb 2022
Compared with peers
Next to other Pediatric Adolescent Medicine Physician providers in Michigan
Rank by total paid#28 of 46
Median peer was paid$567K
This provider vs. median0.7×
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 | 3,133 | $106K | |
| 2019 | 3,230 | $109K | |
| 2020 | 3,148 | $88K | |
| 2021 | 1,954 | $70K | |
| 2022 | 270 | $12K |
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 | 37% | 2,497 | 2,171 | $142K |
| 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 | 22% | 1,066 | 1,011 | $86K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 14% | 767 | 736 | $54K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 8.8% | 567 | 515 | $34K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 8.0% | 449 | 435 | $31K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 5.8% | 2,783 | 1,378 | $22K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 3.7% | 183 | 183 | $14K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 113 | 110 | $784.00 |
| 97802 | <1% | 240 | 239 | $385.00 | |
| 99401 | <1% | 1,427 | 1,416 | $22.58 | |
| 90688 | 0% | 15 | 15 | $0.00 | |
| 90686 | 0% | 107 | 105 | $0.00 |
11 more codes
| 90698 | 0% | 55 | $0.00 | |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 154 | $0.00 |
| 90651 | 0% | 14 | $0.00 | |
| 90723 | 0% | 12 | $0.00 | |
| 90670 | 0% | 362 | $0.00 | |
| 90648 | 0% | 30 | $0.00 | |
| 90461 | 0% | 801 | $0.00 | |
| 90633 | 0% | 38 | $0.00 | |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 30 | $0.00 |
| 90681 | 0% | 13 | $0.00 | |
| 90710 | 0% | 12 | $0.00 |
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.