Physician
Humberto C Machado JR MD PA
Humberto C Machado JR MD PA was paid $2.36M by Medicaid between Jan 2018 and Dec 2024, across 27 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 22% of everything it billed.
33Billing provider infoHUMBERTO C MACHADO JR MD PA
CORAL GABLES, FL 33134
CORAL GABLES, FL 33134
33aNPI1598943169assigned 02/06/2008
33bProvider typeCardiovascular Disease Physician
28Total paid$2.36M
24GClaims61,191
24DCodes billed27
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Cardiovascular Disease Physician providers in Florida
Rank by total paid#4 of 378
Median peer was paid$12K
This provider vs. median203×
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 | 3,367 | $13K | |
| 2019 | 9,377 | $178K | |
| 2020 | 6,579 | $218K | |
| 2021 | 7,405 | $281K | |
| 2022 | 9,818 | $436K | |
| 2023 | 14,362 | $674K | |
| 2024incomplete | 10,283 | $557K |
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 | 22% | 17,632 | 15,001 | $526K |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | 20% | 5,201 | 4,584 | $460K |
| 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 | 19% | 5,864 | 5,254 | $436K |
| 78452 | Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress | 16% | 2,187 | 1,740 | $371K |
| 93015 | 9.6% | 2,887 | 2,390 | $227K | |
| A9502 | Technetium tc-99m tetrofosmin, diagnostic, per study dose | 5.1% | 1,370 | 1,104 | $120K |
| 93000 | 4.6% | 10,304 | 9,032 | $107K | |
| 93224 | 3.3% | 1,960 | 1,763 | $77K | |
| 93351 | <1% | 108 | 102 | $14K | |
| 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% | 1,700 | 1,243 | $9K |
| A9500 | Technetium tc-99m sestamibi, diagnostic, per study dose | <1% | 736 | 583 | $4K |
| J2785 | Injection, regadenoson, 0.1 mg | <1% | 113 | 78 | $2K |
15 more codes
| G8968 | Documentation of medical reason(s) for not prescribing an fda-approved anticoagulant (e.g., present or planned atrial appendage occlusion or ligation or patient being currently enrolled in a clinical trial related to af/atrial flutter treatment) | <1% | 722 | $1K |
| 93880 | <1% | 21 | $821.74 | |
| G8752 | Most recent systolic blood pressure < 140 mmhg | <1% | 2,868 | $126.40 |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | <1% | 2,606 | $91.62 |
| G8598 | Aspirin or another antiplatelet therapy used | 0% | 979 | $0.00 |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 262 | $0.00 |
| G8753 | Most recent systolic blood pressure >= 140 mmhg | 0% | 14 | $0.00 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 55 | $0.00 |
| 1036F | 0% | 82 | $0.00 | |
| G8950 | Elevated or hypertensive blood pressure reading documented, and the indicated follow-up is documented | 0% | 2,432 | $0.00 |
| G8599 | Aspirin or another antiplatelet therapy not used, reason not given | 0% | 824 | $0.00 |
| 1123F | 0% | 84 | $0.00 | |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 0% | 143 | $0.00 |
| G8967 | Fda approved oral anticoagulant is prescribed | 0% | 17 | $0.00 |
| 99451 | 0% | 20 | $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.
From NPPES
Who's on the registration
Authorized officialMACHADO, HUMBERTO (OWNER)
| Provider | Location | Paid |
|---|---|---|
| Humberto Machado MD PA | Coral Gables, FL | $23K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.