Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Calves, Pedro

Calves, Pedro was paid $3K by Medicaid between Apr 2020 and Apr 2024, across 2 billing codes. Its largest line is 99222, Initial hospital care, per day, moderate complexity — 94% of everything it billed.

33Billing provider infoCALVES, PEDRO
BABYLON, NY 11702
33aNPI1861484115assigned 08/22/2005
28Total paid$3K
24GClaims132
24DCodes billed2
24AFirst – last monthApr 2020 – Apr 2024
Compared with peers

Next to other Pulmonary Disease Physician providers in New York

Rank by total paid#271 of 413
Median peer was paid$8K
This provider vs. median0.4×

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

$0$500$1.0K2018201920202021202220232024
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
202015$0.00
202132$497.64
202272$3K
2024incomplete13$145.65
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99222 Initial hospital care, per day, moderate complexity 94% 118 115 $3K
99497 5.6% 14 12 $182.32

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.