Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › FL › Sun City Center › NPI 1861536294
Physician

Ramon V. Santa Maria, M.D., P.A.

Ramon V. Santa Maria, M.D., P.A. was paid $225K by Medicaid between Jan 2019 and Dec 2019, across 23 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 38% of everything it billed.

33Billing provider infoRAMON V. SANTA MARIA, M.D., P.A.
SUN CITY CENTER, FL 33573
33aNPI1861536294assigned 02/18/2007
33bProvider typePediatrics Physician
28Total paid$225K
24GClaims7,184
24DCodes billed23
24AFirst – last monthJan 2019 – Dec 2019
Compared with peers

Next to other Pediatrics Physician providers in Florida

Rank by total paid#497 of 971
Median peer was paid$238K
This provider vs. median0.9×

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

$0$10K$20K$30K2018201920202021202220232024
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
20197,184$225K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 38% 2,232 1,932 $85K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 15% 358 328 $34K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 14% 321 311 $32K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 12% 261 249 $28K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 11% 237 237 $25K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 8.1% 583 548 $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 <1% 14 14 $782.42
90460 Immunization administration through 18 years of age via any route, first or only component <1% 852 794 $423.56
99401 <1% 534 512 $386.50
90686 <1% 137 132 $345.88
90651 <1% 74 65 $197.24
92567 <1% 439 340 $146.04
11 more codes
90713 <1% 163 $138.76
90680 <1% 129 $138.76
90670 <1% 248 $118.76
90700 <1% 215 $40.00
90633 <1% 94 $20.00
90707 0% 44 $0.00
90734 0% 26 $0.00
90715 0% 19 $0.00
90716 0% 44 $0.00
90647 0% 104 $0.00
90744 0% 56 $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.

From NPPES

Who's on the registration

Authorized officialSANTA MARIA, RAMON (PRESIDENT)