Physician
Carlos a Del Rio PC
Carlos a Del Rio PC was paid $245K by Medicaid between Jan 2018 and Dec 2024, across 13 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 66% of everything it billed.
33Billing provider infoCARLOS A DEL RIO PC
DRACUT, MA 01826
DRACUT, MA 01826
33aNPI1043406416assigned 09/19/2007
33bProvider typeInternal Medicine Physician
28Total paid$245K
24GClaims5,300
24DCodes billed13
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Internal Medicine Physician providers in Massachusetts
Rank by total paid#132 of 1,270
Median peer was paid$8K
This provider vs. median29×
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 | 876 | $53K | |
| 2019 | 858 | $45K | |
| 2020 | 711 | $45K | |
| 2021 | 882 | $45K | |
| 2022 | 742 | $41K | |
| 2023 | 707 | $14K | |
| 2024incomplete | 524 | $1K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 66% | 2,878 | 2,737 | $162K |
| 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 | 26% | 780 | 765 | $63K |
| G0444 | Annual depression screening, 5 to 15 minutes | 4.8% | 804 | 802 | $12K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 82 | 81 | $2K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | <1% | 14 | 14 | $2K |
| 90686 | <1% | 41 | 38 | $1K | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 12 | 12 | $1K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 25 | 24 | $1K |
| 90682 | <1% | 31 | 31 | $670.00 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 514 | 505 | $375.66 |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 12 | 12 | $123.26 |
| 36416 | <1% | 12 | 12 | $60.00 |
1 more codes
| 94760 | 0% | 95 | $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.
From NPPES
Who's on the registration
Authorized officialDEL RIO, CARLOS (MD)