Macias, Sergio
Macias, Sergio was paid $588K by Medicaid between Feb 2018 and Dec 2024, across 12 billing codes. Its largest line is L3807, Wrist hand finger orthosis, without joint(s), prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise — 28% of everything it billed.
33Billing provider infoMACIAS, SERGIO
SAN LUIS, AZ 85349
SAN LUIS, AZ 85349
33aNPI1578570081assigned 08/01/2006
33bProvider typePhysical Therapist
28Total paid$588K
24GClaims4,981
24DCodes billed12
24AFirst – last monthFeb 2018 – Dec 2024
Compared with peers
Next to other Physical Therapist providers in Arizona
Rank by total paid#35 of 173
Median peer was paid$46K
This provider vs. median13×
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 | 444 | $5K | |
| 2019 | 62 | $33.03 | |
| 2020 | 16 | $3.76 | |
| 2021 | 248 | $42K | |
| 2022 | 1,183 | $138K | |
| 2023 | 1,442 | $176K | |
| 2024incomplete | 1,586 | $227K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| L3807 | Wrist hand finger orthosis, without joint(s), prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise | 28% | 875 | 806 | $166K |
| L4361 | Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf | 19% | 399 | 388 | $110K |
| L1820 | Knee orthosis, elastic with condylar pads and joints, with or without patellar control, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise | 18% | 932 | 888 | $105K |
| L3670 | Shoulder orthosis, acromio/clavicular (canvas and webbing type), prefabricated, off-the-shelf | 14% | 708 | 687 | $80K |
| E0110 | Crutches, forearm, includes crutches of various materials, adjustable or fixed, pair, complete with tips and handgrips | 11% | 829 | 817 | $65K |
| L3260 | Surgical boot/shoe, each | 9.3% | 655 | 620 | $55K |
| 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | <1% | 398 | 138 | $5K |
| L1902 | Ankle orthosis, ankle gauntlet or similar, with or without joints, prefabricated, off-the-shelf | <1% | 32 | 30 | $2K |
| L1833 | Knee orthosis, adjustable knee joints (unicentric or polycentric), positional orthosis, rigid support, prefabricated, off-the shelf | <1% | 17 | 17 | $713.90 |
| A4670 | Automatic blood pressure monitor | <1% | 12 | 12 | $537.72 |
| 97140 | Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) | <1% | 46 | 19 | $182.70 |
| E0570 | Nebulizer, with compressor | <1% | 78 | 75 | $36.79 |
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.