Physician
Raymond M Pongonis DO, INC.
Raymond M Pongonis DO, INC. was paid $158K by Medicaid between Jan 2018 and May 2022, across 5 billing codes. Its largest line is 99308, Subsequent nursing facility care, per day, straightforward — 81% of everything it billed.
33Billing provider infoRAYMOND M PONGONIS DO, INC.
GROVE CITY, OH 43123
GROVE CITY, OH 43123
33aNPI1780644039assigned 03/23/2006
33bProvider typeFamily Medicine Physician
28Total paid$158K
24GClaims9,643
24DCodes billed5
24AFirst – last monthJan 2018 – May 2022
Compared with peers
Next to other Family Medicine Physician providers in Ohio
Rank by total paid#187 of 739
Median peer was paid$30K
This provider vs. median5.3×
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 | 2,533 | $30K | |
| 2019 | 2,499 | $40K | |
| 2020 | 2,316 | $43K | |
| 2021 | 1,850 | $35K | |
| 2022 | 445 | $9K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99308 | Subsequent nursing facility care, per day, straightforward | 81% | 8,376 | 6,327 | $128K |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | 18% | 1,210 | 901 | $28K |
| 99306 | Prolong nursin fac eval 15m | <1% | 14 | 14 | $676.77 |
| 99305 | <1% | 29 | 26 | $452.80 | |
| 99335 | <1% | 14 | 13 | $347.97 |
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 officialPONGONIS, RAYMOND (PRESIDENT)