Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

PABON, HECTOR

NPI: 1720177967 · BRANDON, FL 33511 · Pediatric Critical Care Medicine Physician · NPI assigned 10/12/2006

$568K
Total Medicaid Paid
5,194
Total Claims
2,797
Beneficiaries
11
Codes Billed
2019-01
First Month
2024-08
Last Month

Monthly Spending Trend

Yearly Breakdown

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

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99223 Prolong inpt eval add15 m 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) 684 305 $140K
99233 Prolong inpt eval add15 m 1,539 774 $108K
99357 779 353 $85K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 89 56 $32K
99356 1,020 470 $20K
99220 73 72 $19K
99292 89 56 $12K
99418 Prolong nursin fac eval 15m 318 136 $9K
99217 57 57 $2K
99226 14 12 $628.53