Pineda, Raymund

Pineda, Raymund was paid $54K by Medicaid between Jan 2018 and Jul 2024, across 12 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 33% of everything it billed.

33Billing provider infoPINEDA, RAYMUND
MARION, IL 62959

33aNPI1841262789assigned 02/05/2006

33bProvider typePulmonary Disease Physician

28Total paid$54K

24GClaims3,699

24DCodes billed12

24AFirst – last monthJan 2018 – Jul 2024

Compared with peers

Next to other Pulmonary Disease Physician providers in Illinois

Rank by total paid#105 of 212

Median peer was paid$51K

This provider vs. median1.1×

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	761	$9K
2019	1,039	$11K
2020	1,113	$16K
2021	412	$8K
2022	207	$4K
2023	112	$2K
2024incomplete	55	$4K

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	33%	1,137	1,085	$18K
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	26%	593	555	$14K
99291	Critical care, evaluation and management of the critically ill patient, first 30-74 minutes	14%	90	38	$7K
94060		11%	486	454	$6K
94726		5.8%	569	531	$3K
94729		4.4%	579	541	$2K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	2.5%	46	46	$1K
99233	Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m	2.0%	86	43	$1K
99202	Office or other outpatient visit for the evaluation and management of a new patient, straightforward	<1%	41	40	$448.00
94010		<1%	38	34	$235.78
99232	Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity	<1%	21	13	$199.20
94618		<1%	13	13	$87.37

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.