Physician
Ayala, Marco
Ayala, Marco was paid $7K by Medicaid between Sep 2024 and Dec 2024, across 3 billing codes. Its largest line is 99204, doctor's office visit, new patient (more involved) — 78% of everything it billed.
33Billing provider infoAYALA, MARCO
CARLSBAD, CA 92008
CARLSBAD, CA 92008
33aNPI1023089992assigned 01/30/2006
33bProvider typeOtolaryngology Physician
28Total paid$7K
24GClaims90
24DCodes billed3
24AFirst – last monthSep 2024 – Dec 2024
Compared with peers
Next to other Otolaryngology Physician providers in California
Rank by total paid#117 of 168
Median peer was paid$67K
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 | |
|---|---|---|---|
| 2024incomplete | 90 | $7K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 78% | 62 | 62 | $5K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 12% | 15 | 15 | $847.10 |
| 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 | 9.7% | 13 | 13 | $658.46 |
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.