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

Domingo, Melchor

Domingo, Melchor was paid $250K by Medicaid between Jan 2018 and Sep 2024, across 48 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 44% of everything it billed.

33Billing provider infoDOMINGO, MELCHOR
BRONX, NY 10453
33aNPI1114013547assigned 10/05/2006
33bProvider typePediatrics Physician
28Total paid$250K
24GClaims59,942
24DCodes billed48
24AFirst – last monthJan 2018 – Sep 2024
Compared with peers

Next to other Pediatrics Physician providers in New York

Rank by total paid#545 of 1,983
Median peer was paid$17K
This provider vs. median15×

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$5.0K$10K2018201920202021202220232024
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
20188,262$48K
20197,922$40K
20208,933$43K
202112,423$55K
202210,265$35K
20238,602$23K
2024incomplete3,535$6K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 44% 11,821 10,582 $111K
86580 9.3% 2,919 2,916 $23K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 7.7% 2,723 2,688 $19K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 5.4% 2,278 2,244 $13K
99401 5.1% 6,246 6,171 $13K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 4.6% 1,572 1,551 $12K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 4.5% 1,640 1,590 $11K
97802 3.2% 6,471 6,391 $8K
90472 Immunization administration, each additional vaccine (list separately) 2.4% 452 438 $6K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 1.9% 305 300 $5K
90686 1.9% 2,656 2,655 $5K
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 1.7% 114 111 $4K
36 more codes
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 1.4% 242 $4K
0001A 1.3% 86 $3K
86480 <1% 1,474 $2K
90473 <1% 130 $2K
36415 Collection of venous blood by venipuncture <1% 4,733 $2K
0002A <1% 42 $1K
90688 <1% 676 $814.52
83655 <1% 165 $807.81
G8510 Screening for depression is documented as negative, a follow-up plan is not required <1% 955 $791.70
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies <1% 1,259 $706.85
G0447 Face-to-face behavioral counseling for obesity, 15 minutes <1% 29 $610.00
87490 <1% 690 $535.90
90621 <1% 251 $307.32
90670 <1% 235 $270.00
87081 <1% 329 $157.32
87804 Infectious agent antigen detection by immunoassay; Influenza, each type <1% 235 $130.28
90651 <1% 455 $120.00
99385 <1% 27 $110.93
90656 <1% 22 $83.16
90734 <1% 277 $60.00
90744 <1% 80 $58.22
90700 <1% 37 $25.00
99408 <1% 2,763 $20.37
3351F 0% 858 $0.00
90716 0% 67 $0.00
3008F 0% 2,954 $0.00
90698 0% 56 $0.00
90680 0% 31 $0.00
3511F 0% 984 $0.00
90707 0% 78 $0.00
90672 0% 123 $0.00
3210F 0% 186 $0.00
90685 0% 37 $0.00
91300 0% 119 $0.00
90715 0% 33 $0.00
90633 0% 27 $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.