Physician
Ojeda, Nestor
Ojeda, Nestor was paid $1.11M by Medicaid between Jan 2018 and Apr 2022, across 42 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 30% of everything it billed.
33Billing provider infoOJEDA, NESTOR
WAVERLY, TN 37185
WAVERLY, TN 37185
33aNPI1821048521assigned 05/11/2006
33bProvider typePediatrics Physician
28Total paid$1.11M
24GClaims48,484
24DCodes billed42
24AFirst – last monthJan 2018 – Apr 2022
Compared with peers
Next to other Pediatrics Physician providers in Tennessee
Rank by total paid#69 of 333
Median peer was paid$139K
This provider vs. median7.9×
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 | 10,584 | $232K | |
| 2019 | 11,729 | $268K | |
| 2020 | 10,244 | $229K | |
| 2021 | 12,731 | $293K | |
| 2022 | 3,196 | $83K |
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 | 30% | 7,976 | 6,249 | $334K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 13% | 3,157 | 2,874 | $140K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 12% | 1,931 | 1,787 | $132K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 9.2% | 1,545 | 1,382 | $102K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 8.3% | 1,490 | 1,420 | $92K |
| 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 | 5.6% | 978 | 846 | $62K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 4.0% | 1,249 | 1,160 | $44K |
| 99177 | 2.6% | 4,767 | 4,328 | $29K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 2.4% | 357 | 292 | $27K |
| 92567 | 2.1% | 1,659 | 1,266 | $23K | |
| 87428 | 1.8% | 365 | 331 | $20K | |
| 92551 | 1.8% | 2,552 | 2,258 | $20K |
30 more codes
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 1.3% | 1,465 | $15K |
| 96127 | 1.2% | 2,745 | $13K | |
| 96160 | <1% | 1,026 | $10K | |
| 3008F | <1% | 3,597 | $8K | |
| 99381 | <1% | 122 | $8K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 337 | $7K |
| 81002 | <1% | 2,770 | $7K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 281 | $3K |
| 90670 | <1% | 1,375 | $3K | |
| 99383 | <1% | 16 | $1K | |
| 90698 | <1% | 979 | $1K | |
| 94664 | <1% | 73 | $919.37 | |
| 90461 | <1% | 2,243 | $765.64 | |
| 99173 | <1% | 148 | $722.95 | |
| 90716 | <1% | 419 | $600.00 | |
| 95115 | <1% | 53 | $586.97 | |
| 96161 | <1% | 49 | $526.31 | |
| 90707 | <1% | 417 | $360.00 | |
| 90681 | <1% | 390 | $280.00 | |
| 90651 | <1% | 94 | $200.00 | |
| 90633 | <1% | 566 | $172.89 | |
| 90744 | <1% | 349 | $90.00 | |
| 90723 | <1% | 177 | $89.00 | |
| 90688 | <1% | 451 | $76.96 | |
| 90647 | <1% | 181 | $34.80 | |
| 90696 | 0% | 27 | $0.00 | |
| 90686 | 0% | 16 | $0.00 | |
| 90685 | 0% | 25 | $0.00 | |
| 90687 | 0% | 50 | $0.00 | |
| 90715 | 0% | 17 | $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.