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
TOA BAJA, PR 00951
33aNPI1750322012assigned 06/09/2006
33bProvider typeGeneral Practice Physician
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
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 | 1,281 | $108.00 | |
| 2019 | 966 | $0.00 | |
| 2020 | 668 | $301.45 | |
| 2021 | 981 | $1K | |
| 2022 | 1,113 | $804.88 | |
| 2023 | 1,534 | $1K | |
| 2024incomplete | 2,638 | $0.00 |
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 | 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.