Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Zapata, Luis

Zapata, Luis was paid $35K by Medicaid between Jan 2018 and Sep 2024, across 4 billing codes. Its largest line is 99285, emergency room visit (most serious) — 94% of everything it billed.

33Billing provider infoZAPATA, LUIS
EAST MEADOW, NY 11554
33aNPI1073804845assigned 04/27/2011
28Total paid$35K
24GClaims873
24DCodes billed4
24AFirst – last monthJan 2018 – Sep 2024
Compared with peers

Next to other Emergency Medicine Physician providers in New York

Rank by total paid#262 of 2,113
Median peer was paid$5K
This provider vs. median7.6×

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
2018237$6K
2019225$8K
2020103$5K
2021131$7K
202239$2K
202313$671.90
2024incomplete125$6K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99285 Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life 94% 642 635 $33K
99284 Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity 3.0% 28 28 $1K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 2.3% 190 187 $795.00
99283 Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity <1% 13 13 $314.21

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.