Physician
Ramirez Medical Practice PLLC
Ramirez Medical Practice PLLC was paid $135K by Medicaid between Jan 2021 and Oct 2024, across 15 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 53% of everything it billed.
33Billing provider infoRAMIREZ MEDICAL PRACTICE PLLC
BLOOMFIELD, CT 06002
BLOOMFIELD, CT 06002
33aNPI1720689128assigned 11/03/2020
33bProvider typeInternal Medicine Physician
28Total paid$135K
24GClaims7,247
24DCodes billed15
24AFirst – last monthJan 2021 – Oct 2024
Compared with peers
Next to other Internal Medicine Physician providers in Connecticut
Rank by total paid#97 of 295
Median peer was paid$35K
This provider vs. median3.8×
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 | |
|---|---|---|---|
| 2021 | 2,375 | $46K | |
| 2022 | 1,549 | $26K | |
| 2023 | 1,785 | $31K | |
| 2024incomplete | 1,538 | $31K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 53% | 2,994 | 2,504 | $71K |
| 99305 | 16% | 255 | 237 | $21K | |
| 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 | 16% | 810 | 730 | $21K |
| 99306 | Prolong nursin fac eval 15m | 9.7% | 151 | 133 | $13K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 3.6% | 72 | 55 | $5K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 1.4% | 117 | 102 | $2K |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | <1% | 338 | 304 | $1K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 300 | 294 | $384.45 |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 43 | 41 | $35.33 |
| G8419 | Bmi documented outside normal parameters, no follow-up plan documented, no reason given | 0% | 768 | 686 | $0.00 |
| G8952 | Elevated or hypertensive blood pressure reading documented, indicated follow-up not documented, reason not given | 0% | 86 | 79 | $0.00 |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 333 | 300 | $0.00 |
3 more codes
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.
From NPPES
Who's on the registration
Authorized officialRAMIREZ, GILBERTO (MD)
| Provider | Location | Paid |
|---|---|---|
| Urgent Care Center of Bloomfield PLLC | Bloomfield, CT | $1.47M |
| The Urgent Care Center of Connecticut, LLC | Bloomfield, CT | $405K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.