Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Pena, Domingo

Pena, Domingo was paid $563.49 by Medicaid between Jan 2024 and Oct 2024, across 46 billing codes. Its largest line is 99212, Office or other outpatient visit for the evaluation and management of an established patient, straightforward — 60% of everything it billed.

33Billing provider infoPENA, DOMINGO
BRONX, NY 10456
33aNPI1841857166assigned 05/22/2019
28Total paid$563.49
24GClaims11,812
24DCodes billed46
24AFirst – last monthJan 2024 – Oct 2024
Compared with peers

Next to other Student in an Organized Health Care Education/Training Program providers in New York

Rank by total paid#1,700 of 2,013
Median peer was paid$4K
This provider vs. median0.2×

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

$0$50$100$1502018201920202021202220232024
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
YearClaimsPaid
2024incomplete11,812$563.49
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 60% 464 446 $336.22
G0442 Annual alcohol misuse screening, 5 to 15 minutes 22% 38 38 $123.70
G0444 Annual depression screening, 5 to 15 minutes 15% 38 38 $83.01
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 3.6% 33 33 $20.56
3074F 0% 725 717 $0.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 0% 362 362 $0.00
2010F 0% 746 736 $0.00
1000F 0% 329 329 $0.00
3017F 0% 109 108 $0.00
3048F 0% 127 127 $0.00
4293F 0% 330 330 $0.00
3044F 0% 127 126 $0.00
34 more codes
H0002 Behavioral health screening to determine eligibility for admission to treatment program 0% 338 $0.00
3061F 0% 97 $0.00
2000F 0% 745 $0.00
3008F 0% 618 $0.00
94760 0% 341 $0.00
1036F 0% 330 $0.00
2001F 0% 744 $0.00
G0103 Prostate cancer screening; prostate specific antigen test (psa) 0% 27 $0.00
G0472 Hepatitis c antibody screening, for individual at high risk and other covered indication(s) 0% 38 $0.00
H0001 Alcohol and/or drug assessment 0% 338 $0.00
97802 0% 340 $0.00
3014F 0% 15 $0.00
1170F 0% 38 $0.00
G0432 Infectious agent antibody detection by enzyme immunoassay (eia) technique, hiv-1 and/or hiv-2, screening 0% 79 $0.00
3011F 0% 130 $0.00
G8754 Most recent diastolic blood pressure < 90 mmhg 0% 38 $0.00
1126F 0% 38 $0.00
G8420 Bmi is documented within normal parameters and no follow-up plan is required 0% 132 $0.00
2028F 0% 330 $0.00
G9622 Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method 0% 338 $0.00
1159F 0% 731 $0.00
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 0% 102 $0.00
3725F 0% 329 $0.00
G8752 Most recent systolic blood pressure < 140 mmhg 0% 38 $0.00
1158F 0% 38 $0.00
1160F 0% 731 $0.00
3016F 0% 330 $0.00
G9383 Patient received screening for hcv infection within the 12 month reporting period 0% 102 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 0% 38 $0.00
3078F 0% 727 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 0% 61 $0.00
99397 0% 24 $0.00
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 0% 12 $0.00
3015F 0% 27 $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.