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

Tio, Arsenio

Tio, Arsenio was paid $397K by Medicaid between Jan 2018 and Nov 2024, across 77 billing codes. Its largest line is 90460, Immunization administration through 18 years of age via any route, first or only component — 41% of everything it billed.

33Billing provider infoTIO, ARSENIO
NEW YORK, NY 10034
33aNPI1538232962assigned 11/15/2006
28Total paid$397K
24GClaims112,362
24DCodes billed77
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers

Next to other General Practice Physician providers in New York

Rank by total paid#37 of 178
Median peer was paid$27K
This provider vs. median15×

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$10K$15K2018201920202021202220232024
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
201810,989$108K
201914,895$83K
202010,611$42K
202114,150$43K
202211,656$24K
202327,443$51K
2024incomplete22,618$45K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
90460 Immunization administration through 18 years of age via any route, first or only component 41% 8,606 8,055 $161K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 15% 10,587 9,889 $58K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 6.8% 3,042 3,038 $27K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 6.1% 2,632 2,625 $24K
90472 Immunization administration, each additional vaccine (list separately) 6.0% 779 779 $24K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 5.2% 2,320 2,319 $21K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 3.3% 1,597 1,566 $13K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 1.6% 422 421 $6K
83655 1.5% 1,242 1,239 $6K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 1.5% 2,015 2,012 $6K
G0447 Face-to-face behavioral counseling for obesity, 15 minutes 1.3% 489 488 $5K
G0442 Annual alcohol misuse screening, 5 to 15 minutes 1.2% 991 990 $5K
65 more codes
G8510 Screening for depression is documented as negative, a follow-up plan is not required 1.2% 2,349 $5K
G0444 Annual depression screening, 5 to 15 minutes 1.2% 998 $5K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 1.1% 1,914 $4K
96127 <1% 5,491 $4K
H0049 Alcohol and/or drug screening <1% 745 $4K
0071A <1% 94 $3K
90461 <1% 2,699 $3K
99442 <1% 2,017 $2K
0072A <1% 54 $2K
87320 <1% 1,293 $2K
83036 Hemoglobin; glycosylated (A1C) <1% 2,129 $2K
99213 Doctor's office visit, returning patient (routine) <1% 77 $2K
36415 Collection of venous blood by venipuncture <1% 5,342 $1K
90686 <1% 1,610 $608.97
90633 <1% 1,197 $387.00
90670 <1% 1,228 $250.70
90734 <1% 843 $215.80
90647 <1% 1,061 $170.00
90723 <1% 556 $65.20
90680 <1% 507 $60.00
90716 <1% 247 $50.20
80053 Comprehensive metabolic panel <1% 1,844 $30.20
84443 Thyroid stimulating hormone (TSH) <1% 1,484 $27.18
90715 <1% 247 $25.10
90700 <1% 81 $25.00
90685 <1% 55 $21.81
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe <1% 488 $21.64
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe <1% 421 $21.64
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies <1% 565 $18.67
81000 <1% 1,793 $12.00
84439 <1% 1,139 $9.00
90620 <1% 630 $6.28
84478 <1% 1,150 $5.08
82465 <1% 1,300 $4.35
H0001 Alcohol and/or drug assessment <1% 2,415 $1.00
91307 <1% 157 $0.71
91300 <1% 12 $0.08
3008F <1% 13,176 $0.08
1160F 0% 991 $0.00
G9622 Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method 0% 2,292 $0.00
3016F 0% 1,861 $0.00
3725F 0% 1,922 $0.00
90671 0% 142 $0.00
90707 0% 103 $0.00
90681 0% 114 $0.00
1159F 0% 998 $0.00
99080 0% 444 $0.00
90710 0% 92 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 0% 80 $0.00
90648 0% 15 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 0% 18 $0.00
90656 0% 1,062 $0.00
G8418 Bmi is documented below normal parameters and a follow-up plan is documented 0% 916 $0.00
90634 0% 98 $0.00
1036F 0% 1,483 $0.00
G8419 Bmi documented outside normal parameters, no follow-up plan documented, no reason given 0% 2,124 $0.00
G8420 Bmi is documented within normal parameters and no follow-up plan is required 0% 128 $0.00
90651 0% 1,041 $0.00
1000F 0% 1,433 $0.00
90674 0% 276 $0.00
84436 0% 240 $0.00
90677 0% 142 $0.00
90696 0% 51 $0.00
86592 0% 99 $0.00
M1208 Patient is not screened for food insecurity, housing instability, transportation needs, utility difficulties, and interpersonal safety 0% 67 $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.