Physician
Resa, Ramon
Resa, Ramon was paid $36K by Medicaid between Jul 2019 and Mar 2020, across 14 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 44% of everything it billed.
33Billing provider infoRESA, RAMON
PORTERVILLE, CA 93257
PORTERVILLE, CA 93257
33aNPI1811066210assigned 11/07/2006
33bProvider typePediatrics Physician
28Total paid$36K
24GClaims2,873
24DCodes billed14
24AFirst – last monthJul 2019 – Mar 2020
Compared with peers
Next to other Pediatrics Physician providers in California
Rank by total paid#633 of 1,490
Median peer was paid$15K
This provider vs. median2.4×
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 | 1,821 | $23K | |
| 2020 | 1,052 | $13K |
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 | 44% | 833 | 759 | $16K |
| 85018 | 25% | 310 | 308 | $9K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 22% | 591 | 552 | $8K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 2.3% | 95 | 95 | $827.26 |
| G9920 | Screening performed and negative | 2.2% | 241 | 241 | $814.42 |
| 83518 | 1.4% | 56 | 56 | $524.18 | |
| 81000 | 1.0% | 80 | 79 | $366.89 | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 102 | 102 | $331.73 |
| 90688 | <1% | 128 | 128 | $292.30 | |
| 90698 | <1% | 12 | 12 | $33.75 | |
| 92551 | <1% | 223 | 221 | $33.06 | |
| 92081 | 0% | 128 | 127 | $0.00 |
2 more codes
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.