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

Jerome V Ponder MD PC

Jerome V Ponder MD PC was paid $301K by Medicaid between Jan 2018 and May 2024, across 16 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 29% of everything it billed.

33Billing provider infoJEROME V PONDER MD PC
FAYETTEVILLE, NC 28304
33aNPI1598775025assigned 08/08/2006
28Total paid$301K
24GClaims10,406
24DCodes billed16
24AFirst – last monthJan 2018 – May 2024
Compared with peers

Next to other Obstetrics & Gynecology Physician providers in North Carolina

Rank by total paid#45 of 189
Median peer was paid$47K
This provider vs. median6.5×

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

$0$10K$20K$30K2018201920202021202220232024
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
20182,242$101K
20191,917$81K
20201,205$53K
20211,167$41K
20222,073$10K
20231,652$15K
2024incomplete150$0.00
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 29% 1,721 1,383 $87K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 16% 488 474 $47K
59400 Routine obstetric care including antepartum care, vaginal delivery, and postpartum care 12% 25 25 $37K
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 9.1% 387 339 $27K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 8.4% 364 352 $25K
S0280 Medical home program, comprehensive care coordination and planning, initial plan 6.0% 398 392 $18K
99199 Unlisted special service, procedure or report 5.8% 4,065 3,880 $18K
81025 5.2% 2,413 2,225 $16K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 4.5% 181 164 $14K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 2.0% 59 57 $6K
59025 Fetal non-stress test <1% 61 25 $2K
99442 <1% 137 98 $2K
4 more codes
S0281 Medical home program, comprehensive care coordination and planning, maintenance of plan <1% 13 $2K
99203 Doctor's office visit, new patient (routine) <1% 18 $1K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 32 $519.96
87210 <1% 44 $164.50

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 officialPONDER, JEROME (OWNER)