Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › NV › Las Vegas › NPI 1114286077
Physician

Macedo, Mark

Macedo, Mark was paid $116K by Medicaid between Jan 2018 and Dec 2018, across 4 billing codes. Its largest line is 99285, emergency room visit (most serious) — 62% of everything it billed.

33Billing provider infoMACEDO, MARK
LAS VEGAS, NV 89109
33aNPI1114286077assigned 05/14/2012
28Total paid$116K
24GClaims1,707
24DCodes billed4
24AFirst – last monthJan 2018 – Dec 2018
Compared with peers

Next to other Emergency Medicine Physician providers in Nevada

Rank by total paid#74 of 216
Median peer was paid$63K
This provider vs. median1.8×

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$10K$15K2018201920202021202220232024
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
20181,707$116K
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 62% 560 551 $72K
99284 Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity 27% 330 320 $32K
99283 Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity 11% 244 240 $13K
99053 <1% 573 562 $10.39

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.