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

Pacheco, Cristina

Pacheco, Cristina was paid $41K by Medicaid between Sep 2018 and Nov 2023, across 10 billing codes. Its largest line is 87637, Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV — 33% of everything it billed.

33Billing provider infoPACHECO, CRISTINA
PAWTUCKET, RI 02860
33aNPI1386757656assigned 08/17/2006
28Total paid$41K
24GClaims601
24DCodes billed10
24AFirst – last monthSep 2018 – Nov 2023
Compared with peers

Next to other Family Medicine Physician providers in Rhode Island

Rank by total paid#100 of 220
Median peer was paid$33K
This provider vs. median1.2×

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$5.0K$10K2018201920202021202220232024
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
2018175$4K
202138$1K
202212$331.75
2023376$35K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
87637 Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV 33% 67 58 $14K
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% 158 152 $11K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 24% 148 138 $10K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 8.3% 39 33 $3K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 3.1% 13 13 $1K
80061 Lipid panel 2.9% 37 36 $1K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 1.4% 49 45 $584.16
80050 General health panel 1.4% 13 13 $566.67
83036 Hemoglobin; glycosylated (A1C) <1% 15 15 $69.70
90686 <1% 62 31 $30.75

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.