Physician
Romaguera, Pedro
Romaguera, Pedro was paid $206K by Medicaid between Jan 2018 and Nov 2024, across 35 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 48% of everything it billed.
33Billing provider infoROMAGUERA, PEDRO
METAIRIE, LA 70006
METAIRIE, LA 70006
33aNPI1659303857assigned 07/07/2006
33bProvider typeInternal Medicine Physician
28Total paid$206K
24GClaims14,622
24DCodes billed35
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Internal Medicine Physician providers in Louisiana
Rank by total paid#72 of 290
Median peer was paid$27K
This provider vs. median7.7×
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 | 3,532 | $58K | |
| 2019 | 906 | $24K | |
| 2020 | 1,953 | $45K | |
| 2021 | 1,773 | $21K | |
| 2023 | 3,919 | $37K | |
| 2024incomplete | 2,539 | $21K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 48% | 2,396 | 1,962 | $99K |
| 99223 | Prolong inpt eval add15 m | 18% | 746 | 533 | $37K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 16% | 1,061 | 874 | $33K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 9.0% | 869 | 354 | $19K |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | 6.1% | 997 | 861 | $13K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 16 | 16 | $1K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 104 | 59 | $1K |
| 36415 | Collection of venous blood by venipuncture | <1% | 845 | 616 | $1K |
| 99308 | Subsequent nursing facility care, per day, straightforward | <1% | 83 | 77 | $752.94 |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 78 | 66 | $396.63 |
| 99401 | <1% | 43 | 37 | $315.52 | |
| 93000 | <1% | 25 | 25 | $301.89 |
23 more codes
| 96127 | <1% | 175 | $233.46 | |
| 90686 | <1% | 27 | $228.36 | |
| 81002 | <1% | 146 | $228.35 | |
| 94010 | <1% | 12 | $212.30 | |
| 82962 | <1% | 60 | $121.50 | |
| 99349 | <1% | 42 | $80.06 | |
| H0049 | Alcohol and/or drug screening | <1% | 38 | $50.00 |
| 96160 | <1% | 126 | $37.62 | |
| G0442 | Annual alcohol misuse screening, 5 to 15 minutes | <1% | 70 | $25.76 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 18 | $25.00 |
| 3074F | 0% | 817 | $0.00 | |
| 3075F | 0% | 68 | $0.00 | |
| 1036F | 0% | 252 | $0.00 | |
| 3080F | 0% | 65 | $0.00 | |
| 3044F | 0% | 125 | $0.00 | |
| 3008F | 0% | 261 | $0.00 | |
| 1125F | 0% | 279 | $0.00 | |
| 3079F | 0% | 88 | $0.00 | |
| 3048F | 0% | 17 | $0.00 | |
| 3077F | 0% | 180 | $0.00 | |
| 1159F | 0% | 1,994 | $0.00 | |
| 3078F | 0% | 940 | $0.00 | |
| 1160F | 0% | 1,559 | $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.