Physician
Valderrama, Ramon
Valderrama, Ramon was paid $297K by Medicaid between Feb 2020 and Nov 2024, across 11 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 25% of everything it billed.
33Billing provider infoVALDERRAMA, RAMON
NEW YORK, NY 10022
NEW YORK, NY 10022
33aNPI1922104215assigned 09/15/2006
33bProvider typeNeurology Physician
28Total paid$297K
24GClaims4,156
24DCodes billed11
24AFirst – last monthFeb 2020 – Nov 2024
Compared with peers
Next to other Neurology Physician providers in New York
Rank by total paid#67 of 623
Median peer was paid$9K
This provider vs. median32×
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 | |
|---|---|---|---|
| 2020 | 455 | $27K | |
| 2021 | 1,696 | $115K | |
| 2022 | 714 | $42K | |
| 2023 | 676 | $58K | |
| 2024incomplete | 615 | $55K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 25% | 1,480 | 1,298 | $74K |
| 95911 | 23% | 742 | 615 | $69K | |
| 95886 | 21% | 748 | 624 | $63K | |
| 95938 | 9.7% | 197 | 196 | $29K | |
| 93886 | 6.9% | 216 | 213 | $21K | |
| 93880 | 4.5% | 204 | 199 | $13K | |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 3.3% | 151 | 151 | $10K |
| 95816 | 3.0% | 65 | 63 | $9K | |
| 92540 | 1.5% | 118 | 116 | $4K | |
| 92546 | 1.4% | 117 | 116 | $4K | |
| 92537 | <1% | 118 | 116 | $1K |
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.