Physician
Frias, Marco
Frias, Marco was paid $13K by Medicaid between Dec 2022 and Nov 2024, across 6 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 100% of everything it billed.
33Billing provider infoFRIAS, MARCO
BINGHAMTON, NY 13904
BINGHAMTON, NY 13904
33aNPI1356993281assigned 07/11/2019
33bProvider typeFamily Medicine Physician
28Total paid$13K
24GClaims797
24DCodes billed6
24AFirst – last monthDec 2022 – Nov 2024
Compared with peers
Next to other Family Medicine Physician providers in New York
Rank by total paid#1,232 of 2,605
Median peer was paid$10K
This provider vs. median1.3×
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 | |
|---|---|---|---|
| 2022 | 12 | $235.26 | |
| 2023 | 280 | $6K | |
| 2024incomplete | 505 | $7K |
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 | 100% | 405 | 388 | $13K |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | 0% | 19 | 19 | $0.00 |
| 4274F | 0% | 14 | 14 | $0.00 | |
| 1125F | 0% | 111 | 102 | $0.00 | |
| 1126F | 0% | 165 | 159 | $0.00 | |
| 3008F | 0% | 83 | 81 | $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.