Mateo, Francisco

Mateo, Francisco was paid $17K by Medicaid between Jan 2018 and Mar 2019, across 9 billing codes. Its largest line is 99233, hospital visit by a doctor, follow-up day (complex) — 37% of everything it billed.

33Billing provider infoMATEO, FRANCISCO
SALEM, OH 44460

33aNPI1316966435assigned 07/19/2006

33bProvider typePulmonary Disease Physician

28Total paid$17K

24GClaims1,105

24DCodes billed9

24AFirst – last monthJan 2018 – Mar 2019

Compared with peers

Next to other Pulmonary Disease Physician providers in Ohio

Rank by total paid#25 of 42

Median peer was paid$34K

This provider vs. median0.5×

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	879	$14K
2019	226	$3K

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	37%	394	158	$6K
99232	Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity	33%	447	187	$6K
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	20%	88	88	$3K
99407		2.9%	41	39	$495.86
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	2.3%	12	12	$387.33
94060		2.1%	42	41	$367.97
99223	Prolong inpt eval add15 m	1.6%	17	16	$276.18
94727		<1%	32	31	$131.49
94729		<1%	32	31	$110.07

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.