Pabon, Hector

Pabon, Hector was paid $568K by Medicaid between Jan 2019 and Aug 2024, across 11 billing codes. Its largest line is 99223, Prolong inpt eval add15 m — 25% of everything it billed.

33Billing provider infoPABON, HECTOR
BRANDON, FL 33511

33aNPI1720177967assigned 10/12/2006

33bProvider typePediatric Critical Care Medicine Physician

28Total paid$568K

24GClaims5,194

24DCodes billed11

24AFirst – last monthJan 2019 – Aug 2024

Compared with peers

Next to other Pediatric Critical Care Medicine Physician providers in Florida

Rank by total paid#5 of 16

Median peer was paid$207K

This provider vs. median2.7×

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
2019	1,541	$135K
2020	330	$49K
2021	52	$6K
2022	1,241	$130K
2023	1,456	$168K
2024incomplete	574	$80K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99223	Prolong inpt eval add15 m	25%	532	506	$141K
G0316	Prolonged hospital inpatient or observation care evaluation and management service(s) beyond the total time for the primary service (when the primary service has been selected using time on the date of the primary service); each additional 15 minutes by the physician or qualified healthcare professional, with or without direct patient contact (list separately in addition to cpt codes 99223, 99233, and 99236 for hospital inpatient or observation care evaluation and management services). (do not report g0316 on the same date of service as other prolonged services for evaluation and management 99358, 99359, 99418, 99415, 99416). (do not report g0316 for any time unit less than 15 minutes)	25%	684	305	$140K
99233	Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m	19%	1,539	774	$108K
99357		15%	779	353	$85K
99291	Critical care, evaluation and management of the critically ill patient, first 30-74 minutes	5.7%	89	56	$32K
99356		3.6%	1,020	470	$20K
99220		3.3%	73	72	$19K
99292		2.1%	89	56	$12K
99418	Prolong nursin fac eval 15m	1.5%	318	136	$9K
99217		<1%	57	57	$2K
99226		<1%	14	12	$628.53

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.