Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Madrid-Zepeda, Raul

Madrid-Zepeda, Raul was paid $12K by Medicaid between Oct 2019 and Jun 2022, across 3 billing codes. Its largest line is 99232, hospital visit by a doctor, follow-up day — 90% of everything it billed.

33Billing provider infoMADRID-ZEPEDA, RAUL
BOSTON, MA 02115
33aNPI1053725887assigned 06/19/2014
28Total paid$12K
24GClaims659
24DCodes billed3
24AFirst – last monthOct 2019 – Jun 2022
Compared with peers

Next to other Student in an Organized Health Care Education/Training Program providers in Massachusetts

Rank by total paid#99 of 240
Median peer was paid$7K
This provider vs. median1.7×

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

$0$1.0K$2.0K2018201920202021202220232024
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
YearClaimsPaid
2019130$1K
2020262$4K
2021176$5K
202291$2K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99232 Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity 90% 591 225 $11K
99239 Hospital discharge day management, more than 30 minutes 5.7% 38 38 $705.09
99233 Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m 3.9% 30 17 $484.64

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.