Pineda, Ramon

Pineda, Ramon was paid $106K by Medicaid between Jan 2019 and Apr 2021, across 11 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 32% of everything it billed.

33Billing provider infoPINEDA, RAMON
KISSIMMEE, FL 34744

33aNPI1760430656assigned 05/04/2006

33bProvider typePediatric Adolescent Medicine Physician

28Total paid$106K

24GClaims2,936

24DCodes billed11

24AFirst – last monthJan 2019 – Apr 2021

Compared with peers

Next to other Pediatric Adolescent Medicine Physician providers in Florida

Rank by total paid#38 of 56

Median peer was paid$221K

This provider vs. median0.5×

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
2019	2,002	$68K
2020	779	$30K
2021	155	$8K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
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	32%	748	667	$34K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	20%	799	705	$21K
99393	Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years)	17%	235	150	$18K
99215	Doctor's office visit, returning patient (complex)Prolong outpt/office vis	16%	273	253	$17K
99392	Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years)	7.7%	82	82	$8K
99394	Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years)	6.7%	88	88	$7K
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	<1%	368	328	$460.00
90647		0%	45	37	$0.00
90472	Immunization administration, each additional vaccine (list separately)	0%	225	208	$0.00
90670		0%	46	38	$0.00
90700		0%	27	25	$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.