Altamirano, Dodanim

Altamirano, Dodanim was paid $0.10 by Medicaid between Jan 2018 and Mar 2018, across 9 billing codes. Its largest line is 99394, Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) — 100% of everything it billed.

33Billing provider infoALTAMIRANO, DODANIM
VILLE PLATTE, LA 70586

33aNPI1972598712assigned 09/19/2005

33bProvider typePediatrics Physician

28Total paid$0.10

24GClaims1,181

24DCodes billed9

24AFirst – last monthJan 2018 – Mar 2018

Compared with peers

Next to other Pediatrics Physician providers in Louisiana

Rank by total paid#222 of 230

Median peer was paid$429K

This provider vs. median0.0×

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	1,181	$0.10

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99394	Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years)	100%	14	13	$0.10
99173		0%	24	17	$0.00
99393	Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years)	0%	85	37	$0.00
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	0%	17	15	$0.00
T1015	A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive	0%	563	213	$0.00
99392	Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years)	0%	32	12	$0.00
90472	Immunization administration, each additional vaccine (list separately)	0%	55	14	$0.00
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	0%	303	120	$0.00
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	0%	88	34	$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.