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

Pascual, Margarita

Pascual, Margarita was paid $54K by Medicaid between Jan 2018 and Dec 2018, across 19 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 27% of everything it billed.

33Billing provider infoPASCUAL, MARGARITA
ASTORIA, NY 11103
33aNPI1558471912assigned 08/30/2006
28Total paid$54K
24GClaims1,259
24DCodes billed19
24AFirst – last monthJan 2018 – Dec 2018
Compared with peers

Next to other Cardiovascular Disease Physician providers in New York

Rank by total paid#453 of 1,564
Median peer was paid$13K
This provider vs. median4.2×

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$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
20181,259$54K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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 27% 146 135 $15K
99195 24% 130 127 $13K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 18% 141 133 $10K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 12% 33 33 $6K
95943 6.9% 28 28 $4K
95923 6.3% 28 28 $3K
93922 4.3% 28 28 $2K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 1.2% 36 34 $665.72
90686 <1% 13 13 $247.52
3074F <1% 72 64 $177.50
93000 <1% 31 30 $163.90
3078F <1% 60 55 $155.00
7 more codes
3079F <1% 13 $32.50
1000F 0% 74 $0.00
3008F 0% 118 $0.00
1036F 0% 64 $0.00
G8754 Most recent diastolic blood pressure < 90 mmhg 0% 81 $0.00
3725F 0% 78 $0.00
G8752 Most recent systolic blood pressure < 140 mmhg 0% 85 $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.