Del Rio, Carlos

Del Rio, Carlos was paid $23K by Medicaid between Jan 2018 and Nov 2024, across 8 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 79% of everything it billed.

33Billing provider infoDEL RIO, CARLOS
DRACUT, MA 01826

33aNPI1285608398assigned 02/15/2006

33bProvider typeInternal Medicine Physician

28Total paid$23K

24GClaims1,938

24DCodes billed8

24AFirst – last monthJan 2018 – Nov 2024

Compared with peers

Next to other Internal Medicine Physician providers in Massachusetts

Rank by total paid#460 of 1,270

Median peer was paid$8K

This provider vs. median2.7×

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	483	$10K
2019	390	$3K
2020	212	$2K
2021	221	$953.80
2022	218	$1K
2023	187	$2K
2024incomplete	227	$3K

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	79%	1,349	1,282	$18K
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	21%	299	291	$5K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	<1%	26	26	$137.61
G0008	Administration of influenza virus vaccine	0%	96	95	$0.00
90682		0%	12	12	$0.00
G0444	Annual depression screening, 5 to 15 minutes	0%	125	124	$0.00
G8482	Influenza immunization administered or previously received	0%	16	16	$0.00
90662		0%	15	15	$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.