Clinic
Marichal & Prieto MD PA
Marichal & Prieto MD PA was paid $39K by Medicaid between Jan 2018 and Nov 2024, across 13 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 96% of everything it billed.
33Billing provider infoMARICHAL & PRIETO MD PA
MIAMI, FL 33175
MIAMI, FL 33175
33aNPI1306982111assigned 01/29/2007
33bProvider typeHealth Service Clinic/Center
28Total paid$39K
24GClaims6,549
24DCodes billed13
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Health Service Clinic/Center providers in Florida
Rank by total paid#27 of 49
Median peer was paid$58K
This provider vs. median0.7×
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 | 1,148 | $517.71 | |
| 2019 | 1,982 | $3K | |
| 2020 | 652 | $3K | |
| 2021 | 819 | $7K | |
| 2022 | 839 | $11K | |
| 2023 | 790 | $10K | |
| 2024incomplete | 319 | $5K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 96% | 2,699 | 1,851 | $37K |
| 99442 | 1.8% | 42 | 23 | $701.33 | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 1.5% | 319 | 265 | $588.66 |
| 99443 | <1% | 93 | 52 | $167.61 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | <1% | 1,394 | 1,069 | $88.30 |
| 2000F | 0% | 1,187 | 909 | $0.00 | |
| 1126F | 0% | 16 | 12 | $0.00 | |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 0% | 15 | 15 | $0.00 |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 14 | 13 | $0.00 |
| 1159F | 0% | 16 | 14 | $0.00 | |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 725 | 558 | $0.00 |
| 3288F | 0% | 12 | 12 | $0.00 |
1 more codes
| 1160F | 0% | 17 | $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.
From NPPES
Who's on the registration
Authorized officialVILLEGAS, MABIET (ADM)