Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Francisco Smith Palacios, PA

Francisco Smith Palacios, PA was paid $57K by Medicaid between Jan 2018 and Aug 2024, across 10 billing codes. Its largest line is 99222, Initial hospital care, per day, moderate complexity — 57% of everything it billed.

33Billing provider infoFRANCISCO SMITH PALACIOS, PA
MIAMI, FL 33133
33aNPI1356600753assigned 05/07/2012
28Total paid$57K
24GClaims3,999
24DCodes billed10
24AFirst – last monthJan 2018 – Aug 2024
Compared with peers

Next to other Interventional Cardiology Physician providers in Florida

Rank by total paid#18 of 67
Median peer was paid$10K
This provider vs. median5.9×

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

$0$2.0K$4.0K2018201920202021202220232024
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
YearClaimsPaid
2018471$2K
20191,185$20K
2020640$9K
2021570$13K
2022668$3K
2023450$11K
2024incomplete15$431.25
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99222 Initial hospital care, per day, moderate complexity 57% 1,104 786 $32K
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 24% 1,073 685 $14K
99233 Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m 6.5% 676 292 $4K
99204 Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 5.3% 39 37 $3K
93000 2.6% 587 441 $1K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 2.5% 208 155 $1K
99223 Prolong inpt eval add15 m 1.3% 16 13 $763.27
99232 Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity <1% 190 91 $447.95
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete <1% 35 35 $142.89
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only <1% 71 23 $97.08

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 officialPALACIOS, FRANCISCO (PRESIDENT)