Flores, Pedro

Flores, Pedro was paid $5K by Medicaid between Nov 2019 and Jun 2020, across 3 billing codes. Its largest line is 99233, hospital visit by a doctor, follow-up day (complex) — 79% of everything it billed.

33Billing provider infoFLORES, PEDRO
JELLICO, TN 37762

33aNPI1871774042assigned 11/16/2007

33bProvider typeEmergency Medicine Physician

28Total paid$5K

24GClaims373

24DCodes billed3

24AFirst – last monthNov 2019 – Jun 2020

Compared with peers

Next to other Emergency Medicine Physician providers in Tennessee

Rank by total paid#274 of 332

Median peer was paid$56K

This provider vs. median0.1×

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
2019	156	$2K
2020	217	$3K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99233	Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m	79%	302	84	$4K
99232	Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity	18%	54	20	$920.73
99239	Hospital discharge day management, more than 30 minutes	3.2%	17	12	$166.52

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.