Physician
Ponciano, Ever
Ponciano, Ever was paid $78K by Medicaid between Jan 2023 and Apr 2024, across 8 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 61% of everything it billed.
33Billing provider infoPONCIANO, EVER
HAGERSTOWN, MD 21740
HAGERSTOWN, MD 21740
33aNPI1750572012assigned 08/01/2007
33bProvider typeInternal Medicine Physician
28Total paid$78K
24GClaims1,798
24DCodes billed8
24AFirst – last monthJan 2023 – Apr 2024
Compared with peers
Next to other Internal Medicine Physician providers in Maryland
Rank by total paid#249 of 501
Median peer was paid$77K
This provider vs. median1.0×
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 | |
|---|---|---|---|
| 2023 | 1,435 | $60K | |
| 2024incomplete | 363 | $17K |
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 | 61% | 695 | 526 | $47K |
| 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 | 31% | 274 | 215 | $25K |
| 96127 | 3.0% | 509 | 394 | $2K | |
| 91322 | 2.2% | 12 | 12 | $2K | |
| 90682 | 1.3% | 43 | 17 | $978.90 | |
| 90480 | <1% | 12 | 12 | $480.00 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 51 | 22 | $465.60 |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 202 | 161 | $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.