Sica, Roberto

Sica, Roberto was paid $34K by Medicaid between Mar 2020 and Aug 2024, across 4 billing codes. Its largest line is 99233, hospital visit by a doctor, follow-up day (complex) — 60% of everything it billed.

33Billing provider infoSICA, ROBERTO
NEW BEDFORD, MA 02740

33aNPI1316133648assigned 09/20/2007

33bProvider typeInternal Medicine Physician

28Total paid$34K

24GClaims1,446

24DCodes billed4

24AFirst – last monthMar 2020 – Aug 2024

Compared with peers

Next to other Internal Medicine Physician providers in Massachusetts

Rank by total paid#391 of 1,270

Median peer was paid$8K

This provider vs. median4.1×

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
2020	126	$3K
2021	449	$9K
2022	406	$8K
2023	414	$12K
2024incomplete	51	$2K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99233	Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m	60%	851	263	$20K
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	26%	326	248	$9K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	12%	253	208	$4K
99215	Doctor's office visit, returning patient (complex)Prolong outpt/office vis	2.4%	16	13	$819.01

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.