Physician
Mario Magcalas MD PA
Mario Magcalas MD PA was paid $232K by Medicaid between Jan 2018 and Nov 2024, across 15 billing codes. Its largest line is 99233, hospital visit by a doctor, follow-up day (complex) — 39% of everything it billed.
33Billing provider infoMARIO MAGCALAS MD PA
PEMBROKE PINES, FL 33026
PEMBROKE PINES, FL 33026
33aNPI1497856058assigned 09/26/2006
33bProvider typeCritical Care Medicine (Internal Medicine) Physician
28Total paid$232K
24GClaims23,224
24DCodes billed15
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Critical Care Medicine (Internal Medicine) Physician providers in Florida
Rank by total paid#13 of 55
Median peer was paid$37K
This provider vs. median6.3×
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 | |
|---|---|---|---|
| 2018 | 1,920 | $6K | |
| 2019 | 3,726 | $67K | |
| 2021 | 6,759 | $56K | |
| 2022 | 5,579 | $19K | |
| 2023 | 2,373 | $33K | |
| 2024incomplete | 2,867 | $51K |
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 | 39% | 6,662 | 1,578 | $91K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 39% | 12,830 | 2,487 | $91K |
| 99223 | Prolong inpt eval add15 m | 6.5% | 330 | 248 | $15K |
| 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 | 6.2% | 803 | 624 | $14K |
| 99254 | 2.8% | 28 | 28 | $7K | |
| 99308 | Subsequent nursing facility care, per day, straightforward | 2.6% | 1,343 | 339 | $6K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 1.2% | 362 | 275 | $3K |
| 94729 | <1% | 198 | 137 | $2K | |
| 94060 | <1% | 199 | 140 | $1K | |
| 94727 | <1% | 197 | 136 | $966.84 | |
| 99305 | <1% | 22 | 13 | $612.36 | |
| 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 | <1% | 49 | 30 | $515.74 |
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 officialMADALI, JAME (ADMINISTRATOR)