Physician
Pons Damiani, Pablo
Pons Damiani, Pablo was paid $10K by Medicaid between Jan 2018 and Dec 2023, across 19 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 92% of everything it billed.
33Billing provider infoPONS DAMIANI, PABLO
LAJAS, PR 00667
LAJAS, PR 00667
33aNPI1851336085assigned 06/19/2006
33bProvider typePediatrics Physician
28Total paid$10K
24GClaims12,259
24DCodes billed19
24AFirst – last monthJan 2018 – Dec 2023
Compared with peers
Next to other Pediatrics Physician providers in Puerto Rico
Rank by total paid#86 of 194
Median peer was paid$7K
This provider vs. median1.5×
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 | 2,738 | $0.00 | |
| 2019 | 1,953 | $3K | |
| 2020 | 1,202 | $1K | |
| 2021 | 2,169 | $2K | |
| 2022 | 1,874 | $3K | |
| 2023 | 2,323 | $758.28 |
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 | 92% | 5,822 | 4,611 | $10K |
| 99441 | 3.8% | 295 | 271 | $399.00 | |
| 96160 | 3.0% | 67 | 64 | $315.00 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 53 | 40 | $64.94 |
| 1030F | 0% | 329 | 311 | $0.00 | |
| 3008F | 0% | 1,790 | 1,697 | $0.00 | |
| 1000F | 0% | 282 | 274 | $0.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 225 | 219 | $0.00 |
| 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 | 0% | 174 | 153 | $0.00 |
| 1159F | 0% | 1,133 | 1,095 | $0.00 | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 0% | 266 | 246 | $0.00 |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 0% | 440 | 418 | $0.00 |
7 more codes
| 1160F | 0% | 901 | $0.00 | |
| G2012 | Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion | 0% | 136 | $0.00 |
| 3725F | 0% | 268 | $0.00 | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 0% | 28 | $0.00 |
| 99173 | 0% | 14 | $0.00 | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 0% | 12 | $0.00 |
| 99442 | 0% | 24 | $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.