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    OpenPayerNPI Medicare & MedicaidHernan Pabon
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    Hernan Pabon — Billing Profile & Reimbursement Data

    NPI 1669683751 · Miami, FL · Psychiatry Physician

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    Hernan Pabon is a psychiatry physician provider located in Miami, Florida. This profile covers 11 Medicare and 11 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationHernan Pabon
    Address9000 Sw 137th Ave Ste 103
    CityMiami
    StateFL
    ZIP33186
    TaxonomyPsychiatry Physician
    NPI EnumeratedMay 24, 2007

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicare$333.5K
    Medicaid$144.8K

    Medicare: Total Revenue Breakdown by CPT/HCPCS Code

    Medicare revenue breakdown by CPT/HCPCS procedure code.

    View: Bar Chart1 / 2

    Medicare: Complete Services Breakdown

    The CPT/HCPCS codes generating the most Medicare revenue for this provider.

    11 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    90853Group psychotherapy is provided to a group of people who are normally not acquainted with each other but might be sharing similar kinds of psychological issues. The psychotherapist selects a group of…6,890$20$144.7K
    90834In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…700$80$54.1K
    99213The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…510$70$36.9K
    99214The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…350$100$35.5K
    90832In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…470$60$28.2K
    90792In this procedure, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis. In addition to the diagnostic evaluation, he also renders some additional medical…70$150$10.9K
    90833In this add–on service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient, in addition to an evaluation and management service in the…150$60$8K
    99212The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…120$50$5.5K
    J1631Injection, haloperidol decanoate, per 50 mg710$10$4.2K
    90791In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.30$130$3.3K

    Showing 1–10 of 11

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 11 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    11 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    992148,45432,760140$90$25K
    9083280310150$50$18.3K
    90853120170$20$13.1K
    9083416500110$70$12.6K
    992132,85530,01080$60$12K
    9079215254040$120$9.9K
    90833238640100$50$8.8K
    9079138493020$120$6.2K
    J1631110710$10$4.4K
    992121,0546,92040$40$2.9K

    Showing 1–10 of 11

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

    Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

    11 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99349The provider sees an established patient for a home or residence visit involving evaluation and management (E/M). The visit involves moderate medical decision making or the provider spends at least…1,160$40$51K
    H2000Comprehensive multidisciplinary evaluation190$200$38.6K
    T1015Clinic visit/encounter, all-inclusive510$60$28.3K
    99334N/A250$30$8.2K
    99344The provider sees a new patient for a home or residence visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or the provider spends at least…120$60$6.4K
    96372A therapeutic, prophylactic, or diagnostic substance (a fluid, a drug, etc.) is injected via intramuscular or subcutaneous route into the patient's body. The procedure is performed by the physician…790$10$5.5K
    90792In this procedure, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis. In addition to the diagnostic evaluation, he also renders some additional medical…150$20$3.3K
    99213The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…30$80$2.4K
    99214The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…1,470$1$1.5K
    99442N/A20$20$270

    Showing 1–10 of 11

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other Florida providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. Florida median

    11 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    T1015Clinic visit/encounter, all-inclusive368680680$50$308.4K
    99213The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…5,2015,930460$40$169.3K
    H2000Comprehensive multidisciplinary evaluation159400110$150$162.7K
    99214The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…1,7426,380430$50$139.3K
    90792In this procedure, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis. In addition to the diagnostic evaluation, he also renders some additional medical…101230100$40$32.5K
    96372A therapeutic, prophylactic, or diagnostic substance (a fluid, a drug, etc.) is injected via intramuscular or subcutaneous route into the patient's body. The procedure is performed by the physician…275790260$20$28.9K
    99349The provider sees an established patient for a home or residence visit involving evaluation and management (E/M). The visit involves moderate medical decision making or the provider spends at least…100380320$20$23.6K
    99442N/A28132070$10$3.9K
    99334N/A82170210$10$3.5K
    99344The provider sees a new patient for a home or residence visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or the provider spends at least…86040$30$1.7K

    Showing 1–10 of 11

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Hernan Pabon, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Pinebrook Family AnswersPAMental Health Clinic/Center (Including Community Mental Health Center)$0$7.6M
    Abdiel Ramos MercadoMIInfectious Disease Physician$192.7K$0
    Aids Healthcare FoundationDCClinic/Center$0$165.9K
    Jo DealMSInfectious Disease Physician$157.6K$0
    Robert CoppolaFLNeurology Physician$132.3K$0
    Aids Healthcare FoundationDCInfectious Disease Physician$0$126.3K
    Aids Healthcare FoundationDCHealth Service Clinic/Center$0$116.3K
    James FosterFLPsychiatric/Mental Health Nurse Practitioner$104.3K$0
    Melissa YanINHematology & Oncology Physician$55.4K$0
    Sreedevi VayalapalliGAPsychiatry Physician$20.6K$0

    Nearby Providers

    Other providers in the same ZIP code as Hernan Pabon, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Nory's Home Services, Inc.FLHome Health Agency$0$33.8M
    Absolute Home Health Inc.FLHome Health Agency$0$25.2M
    Amazing Kidz Extended Care Inc.FLPediatric Skilled Nursing Facility$0$14.4M
    Dly Case Management Services, LLC.FLSocial Worker$0$13.1M
    Three-sixty Home Health Services LLCFLIn Home Supportive Care Agency$0$11.7M
    Cermeno's Home Services, CorpFLIn Home Supportive Care Agency$0$11.3M
    B & V Thera Pro Associates CorpFLClinic/Center$0$10.6M
    Lifetime Home Health Care CorpFLHome Health Agency$0$10.2M
    Social Diversity LLCFLCommunity/Behavioral Health Agency$0$10.2M
    Golden Years Servicing LLCFLGeneral Practice Physician$0$9.7M

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Florida Distribution
    Hernan Pabon — 2 of 11 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Florida
    Medicaid Revenue by Year vs. Florida Providers
    0 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Florida Distribution
    Hernan Pabon — 0 of 10 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Florida