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Edit this profileMauricio A. Pedroza, MD is listed as a student in an organized health care education program in Philadelphia, PA. According to Medicare claims data, Mauricio cared for 165 Medicare patients across 357 services. The services billed most often include established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more, dialysis services, 4 or more physician visits per month (20 years or older), and subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes. This provider record is associated with NPI 1265744692.
Factual summary compiled by Guide.md from public records; not written by this provider.
Exactly as CMS reports it (National Downloadable File, Opt-Out Affidavits, Order & Referring). Not an insurance directory; confirm coverage with the office.
5501 OLD YORK RD KLEIN PROFESSIONAL BUILDING, SUITE 363
Philadelphia, PA 19141
357 services · 165 patients · 5 distinct codes
| Procedure | Type | Code | Services | Compared with peers |
|---|---|---|---|---|
| Dialysis services, 4 or more physician visits per month (20 years or older) | Treatment | 90960 |
85 | Too few peers to compare |
| Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | Office visit | 99214 |
163 | More often than most peers in Student in training |
| Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | Office visit | 99232 |
72 | As often as other peers in Student in training |
| Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | Office visit | 99213 |
24 | Less often than most peers in Student in training |
| Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | Office visit | 99222 |
13 | Less often than most peers in Student in training |
Source: CMS Medicare public data. Shows how often procedures were billed — not quality of care or patient satisfaction.
Dr. Pedroza is a medical trainee in Philadelphia, PA. That is the designation recorded for this NPI in the federal registry, where it is listed as “Student in an Organized Health Care Education Program”.
NPI registry
Dr. Pedroza is listed at 5501 Old York Rd Klein Professional Building, Suite 363, Philadelphia, PA 19141. Addresses come from the NPI registry and can lag a move, so confirm before travelling.
NPI registry
The number on file is (215) 456-7890. Contact the office directly to confirm availability and scheduling.
NPI registry
Dr. Pedroza's National Provider Identifier is 1265744692. It is issued by the Centers for Medicare & Medicaid Services and is unique and permanent — it does not change if they move practice.
NPI registry
Dr. Pedroza attended Other, graduating in 2001. This comes from the CMS National Downloadable File.
CMS public data
Dr. Pedroza has 25 years experience. Calculated from a graduation year of 2001, reported in the CMS National Downloadable File.
CMS public data
According to Medicare billing data, Dr. Pedroza provides treatments such as dialysis services, 4 or more physician visits per month, alongside routine visits and testing. This reflects Medicare patients only and is billing volume, not a measure of quality.
Medicare claims
Not yet. This profile is built from public federal data and has not been confirmed by Dr. Pedroza. If this is you, claiming it is free.
Guide.md
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