Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Ramos, Pedro

Ramos, Pedro was paid $4K by Medicaid between Jan 2018 and Dec 2024, across 5 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 48% of everything it billed.

33Billing provider infoRAMOS, PEDRO
TOA BAJA, PR 00951
33aNPI1750322012assigned 06/09/2006
28Total paid$4K
24GClaims9,181
24DCodes billed5
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other General Practice Physician providers in Puerto Rico

Rank by total paid#522 of 1,195
Median peer was paid$2K
This provider vs. median1.9×

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$250$500$7502018201920202021202220232024
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
20181,281$108.00
2019966$0.00
2020668$301.45
2021981$1K
20221,113$804.88
20231,534$1K
2024incomplete2,638$0.00
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 48% 8,001 5,239 $2K
99442 33% 1,023 835 $1K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 18% 18 17 $675.00
99441 <1% 105 100 $21.00
99205 Prolong outpt/office vis 0% 34 33 $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.