Physician
Mercado, Agueda
Mercado, Agueda was paid $3K by Medicaid between Mar 2018 and Dec 2021, across 31 billing codes. Its largest line is 99212, Office or other outpatient visit for the evaluation and management of an established patient, straightforward — 34% of everything it billed.
33Billing provider infoMERCADO, AGUEDA
NEW YORK, NY 10033
NEW YORK, NY 10033
33aNPI1255360368assigned 07/01/2006
33bProvider typeInternal Medicine Physician
28Total paid$3K
24GClaims1,997
24DCodes billed31
24AFirst – last monthMar 2018 – Dec 2021
Compared with peers
Next to other Internal Medicine Physician providers in New York
Rank by total paid#4,101 of 6,049
Median peer was paid$11K
This provider vs. median0.3×
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 | 829 | $2K | |
| 2019 | 613 | $26.46 | |
| 2021 | 555 | $2K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 34% | 104 | 101 | $1K |
| G0270 | Medical nutrition therapy; reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition or treatment regimen (including additional hours needed for renal disease), individual, face to face with the patient, each 15 minutes | 31% | 33 | 33 | $1K |
| 99407 | 21% | 25 | 25 | $698.72 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 7.7% | 433 | 344 | $251.20 |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 3.4% | 23 | 23 | $112.23 |
| G0444 | Annual depression screening, 5 to 15 minutes | 1.2% | 23 | 23 | $39.88 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 77 | 50 | $26.46 |
| 36415 | Collection of venous blood by venipuncture | <1% | 176 | 174 | $6.00 |
| 1159F | 0% | 38 | 37 | $0.00 | |
| 1158F | 0% | 12 | 12 | $0.00 | |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 0% | 51 | 50 | $0.00 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 12 | 12 | $0.00 |
19 more codes
| 99408 | 0% | 19 | $0.00 | |
| 3016F | 0% | 22 | $0.00 | |
| 3078F | 0% | 22 | $0.00 | |
| G9622 | Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method | 0% | 21 | $0.00 |
| 1160F | 0% | 12 | $0.00 | |
| 99403 | 0% | 32 | $0.00 | |
| 3044F | 0% | 21 | $0.00 | |
| 3074F | 0% | 24 | $0.00 | |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 48 | $0.00 |
| 99429 | 0% | 465 | $0.00 | |
| 99000 | 0% | 103 | $0.00 | |
| 2010F | 0% | 83 | $0.00 | |
| 2001F | 0% | 16 | $0.00 | |
| 1157F | 0% | 12 | $0.00 | |
| 1036F | 0% | 21 | $0.00 | |
| G8710 | Patient prescribed antibiotic | 0% | 21 | $0.00 |
| 1126F | 0% | 12 | $0.00 | |
| 2000F | 0% | 16 | $0.00 | |
| 1000F | 0% | 20 | $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.