Machicado, Gustavo

Machicado, Gustavo was paid $89K by Medicaid between Jan 2018 and Jul 2024, across 6 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 59% of everything it billed.

33Billing provider infoMACHICADO, GUSTAVO
NORTHRIDGE, CA 91325

33aNPI1568434652assigned 02/03/2006

33bProvider typeInternal Medicine Physician

28Total paid$89K

24GClaims2,483

24DCodes billed6

24AFirst – last monthJan 2018 – Jul 2024

Compared with peers

Next to other Internal Medicine Physician providers in California

Rank by total paid#687 of 2,679

Median peer was paid$13K

This provider vs. median7.1×

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	393	$10K
2019	328	$8K
2020	378	$16K
2021	498	$25K
2022	419	$18K
2023	275	$10K
2024incomplete	192	$2K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
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	59%	1,787	1,743	$53K
99222	Initial hospital care, per day, moderate complexity	27%	429	421	$24K
43239	Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple	11%	143	137	$9K
99232	Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity	2.7%	93	56	$2K
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%	19	19	$642.23
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%	12	12	$214.58

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.