Ponce, Javier
Ponce, Javier was paid $1.38M by Medicaid between Jan 2018 and Nov 2024, across 34 billing codes. Its largest line is L3002, Foot, insert, removable, molded to patient model, plastazote or equal, each — 21% of everything it billed.
33Billing provider infoPONCE, JAVIER
NEWARK, NJ 07104
NEWARK, NJ 07104
33aNPI1679689764assigned 08/22/2006
33bProvider typePodiatrist
28Total paid$1.38M
24GClaims59,240
24DCodes billed34
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Podiatrist providers in New Jersey
Rank by total paid#3 of 194
Median peer was paid$17K
This provider vs. median80×
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 | 4,189 | $50K | |
| 2019 | 5,614 | $63K | |
| 2020 | 7,458 | $112K | |
| 2021 | 11,979 | $364K | |
| 2022 | 12,559 | $315K | |
| 2023 | 10,021 | $252K | |
| 2024incomplete | 7,420 | $219K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| L3002 | Foot, insert, removable, molded to patient model, plastazote or equal, each | 21% | 5,936 | 2,746 | $291K |
| L3216 | Orthopedic footwear, ladies shoe, depth inlay, each | 19% | 4,489 | 2,023 | $266K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 10% | 8,568 | 8,152 | $141K |
| L3221 | Orthopedic footwear, mens shoe, depth inlay, each | 8.6% | 1,878 | 865 | $119K |
| 11721 | 7.6% | 12,939 | 12,496 | $104K | |
| L3020 | Foot, insert, removable, molded to patient model, longitudinal/ metatarsal support, each | 4.0% | 547 | 273 | $56K |
| 11730 | 3.9% | 2,237 | 2,210 | $54K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 3.6% | 2,156 | 2,030 | $50K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 3.1% | 958 | 940 | $43K |
| 11056 | 2.5% | 4,358 | 4,190 | $35K | |
| 17110 | 2.4% | 936 | 883 | $32K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 2.1% | 919 | 914 | $29K |
22 more codes
| 11765 | 1.9% | 795 | $26K | |
| 20550 | 1.8% | 1,450 | $25K | |
| 99214 | Doctor's office visit, returning patient (more involved) | 1.6% | 664 | $22K |
| 29540 | 1.5% | 1,860 | $20K | |
| 99204 | Doctor's office visit, new patient (more involved) | 1.3% | 331 | $18K |
| 11106 | <1% | 284 | $11K | |
| 11720 | <1% | 1,549 | $6K | |
| S0395 | Impression casting of a foot performed by a practitioner other than the manufacturer of the orthotic | <1% | 252 | $5K |
| 20605 | <1% | 385 | $5K | |
| L1902 | Ankle orthosis, ankle gauntlet or similar, with or without joints, prefabricated, off-the-shelf | <1% | 102 | $4K |
| 93922 | <1% | 406 | $4K | |
| 11719 | <1% | 1,412 | $2K | |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 1,601 | $2K |
| A5510 | For diabetics only, direct formed, compression molded to patient's foot without external heat source, multiple-density insert(s) prefabricated, per shoe | <1% | 25 | $893.00 |
| L3000 | Foot, insert, removable, molded to patient model, 'ucb' type, berkeley shell, each | <1% | 36 | $644.04 |
| 93923 | <1% | 24 | $610.69 | |
| 10160 | <1% | 13 | $519.79 | |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 1,024 | $364.28 |
| 11057 | <1% | 38 | $202.53 | |
| G0127 | Trimming of dystrophic nails, any number | <1% | 40 | $98.48 |
| 36415 | Collection of venous blood by venipuncture | <1% | 27 | $36.22 |
| 99072 | <1% | 1,001 | $20.00 |
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.