Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Pabon, Hernan

Pabon, Hernan was paid $145K by Medicaid between Jan 2018 and Nov 2024, across 11 billing codes. Its largest line is 99349, — 35% of everything it billed.

33Billing provider infoPABON, HERNAN
MIAMI, FL 33186
33aNPI1669683751assigned 05/24/2007
33bProvider typeSpecialist
28Total paid$145K
24GClaims5,428
24DCodes billed11
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers

Next to other Specialist providers in Florida

Rank by total paid#167 of 553
Median peer was paid$31K
This provider vs. median4.6×

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$133.58
2019230$5K
20201,162$26K
20211,152$26K
2022809$11K
20231,370$43K
2024incomplete523$33K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99349 35% 1,160 908 $51K
H2000 Comprehensive multidisciplinary evaluation 27% 194 186 $39K
T1015 A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive 19% 506 440 $28K
99334 5.7% 249 220 $8K
99344 4.4% 116 71 $6K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 3.8% 787 559 $5K
90792 Psychiatric diagnostic evaluation with medical services 2.2% 148 136 $3K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1.7% 30 30 $2K
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 <1% 1,473 1,134 $1K
99442 <1% 15 14 $264.75
J1631 Injection, haloperidol decanoate, per 50 mg 0% 750 536 $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.