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

Mercado, Francisco

Mercado, Francisco was paid $17K by Medicaid between Nov 2018 and Aug 2021, across 5 billing codes. Its largest line is 99232, hospital visit by a doctor, follow-up day — 72% of everything it billed.

33Billing provider infoMERCADO, FRANCISCO
TRIPLER ARMY MEDICAL CENTER, HI 96859
33aNPI1427098789assigned 06/07/2006
28Total paid$17K
24GClaims714
24DCodes billed5
24AFirst – last monthNov 2018 – Aug 2021
Compared with peers

Next to other Geriatric Medicine (Internal Medicine) Physician providers in Hawaii

Rank by total paid#2 of 6
Median peer was paid$2K
This provider vs. median7.6×

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$1.0K$2.0K$3.0K2018201920202021202220232024
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
201867$2K
2019297$6K
202051$2K
2021299$8K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99232 Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity 72% 582 130 $13K
99223 Prolong inpt eval add15 m 25% 74 67 $4K
99239 Hospital discharge day management, more than 30 minutes 3.3% 15 14 $569.11
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 0% 27 26 $0.00
1123F 0% 16 14 $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.