Macias, Margarita
Macias, Margarita was paid $4K by Medicaid between Jun 2019 and Jun 2019, across 8 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 53% of everything it billed.
33Billing provider infoMACIAS, MARGARITA
ROSWELL, NM 88201
ROSWELL, NM 88201
33aNPI1265470710assigned 06/04/2006
33bProvider typeSpecialist
28Total paid$4K
24GClaims157
24DCodes billed8
24AFirst – last monthJun 2019 – Jun 2019
Compared with peers
Next to other Specialist providers in New Mexico
Rank by total paid#49 of 53
Median peer was paid$279K
This provider vs. median0.0×
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 | |
|---|---|---|---|
| 2019 | 157 | $4K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 53% | 38 | 36 | $2K |
| 90461 | 15% | 14 | 14 | $600.94 | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 14% | 26 | 26 | $578.76 |
| 92587 | 12% | 23 | 23 | $491.97 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 4.7% | 15 | 15 | $193.35 |
| 99177 | 1.7% | 14 | 14 | $69.55 | |
| 36416 | 0% | 15 | 15 | $0.00 | |
| 90649 | 0% | 12 | 12 | $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.