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

Pitera, Robert

Pitera, Robert was paid $42K by Medicaid between Mar 2018 and Jan 2023, across 5 billing codes. Its largest line is 99233, hospital visit by a doctor, follow-up day (complex) — 51% of everything it billed.

33Billing provider infoPITERA, ROBERT
ALBUQUERQUE, NM 87109
33aNPI1649394610assigned 03/16/2007
28Total paid$42K
24GClaims806
24DCodes billed5
24AFirst – last monthMar 2018 – Jan 2023
Compared with peers

Next to other Physical Medicine & Rehabilitation Physician providers in New Mexico

Rank by total paid#13 of 20
Median peer was paid$104K
This provider vs. median0.4×

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$5.0K$10K2018201920202021202220232024
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
2018182$4K
2021394$22K
2022149$11K
202381$3K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99233 Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m 51% 362 115 $21K
99232 Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity 28% 342 81 $12K
99223 Prolong inpt eval add15 m 19% 63 61 $8K
99239 Hospital discharge day management, more than 30 minutes 1.8% 13 12 $740.99
99358 Prolong nursin fac eval 15m <1% 26 26 $251.24

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.