Caro, Sixto

Caro, Sixto was paid $72K by Medicaid between Jan 2018 and Nov 2023, across 35 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 42% of everything it billed.

33Billing provider infoCARO, SIXTO
BROOKLYN, NY 11211

33aNPI1639138654assigned 03/20/2006

33bProvider typeInternal Medicine Physician

28Total paid$72K

24GClaims10,764

24DCodes billed35

24AFirst – last monthJan 2018 – Nov 2023

Compared with peers

Next to other Internal Medicine Physician providers in New York

Rank by total paid#1,469 of 6,049

Median peer was paid$11K

This provider vs. median6.4×

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	3,014	$21K
2019	2,847	$14K
2020	1,177	$7K
2021	1,285	$8K
2022	813	$11K
2023	1,628	$11K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	42%	1,796	1,644	$30K
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	14%	285	264	$10K
93000		9.0%	661	654	$6K
99396	Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years	8.3%	123	123	$6K
99442		6.0%	307	253	$4K
99443		5.5%	143	118	$4K
99211	Office or other outpatient visit for the evaluation and management of an established patient, minimal severity	3.7%	510	473	$3K
99441		2.7%	147	140	$2K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	2.0%	110	107	$1K
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	1.7%	154	154	$1K
G0447	Face-to-face behavioral counseling for obesity, 15 minutes	1.4%	797	724	$1K
90682		<1%	18	18	$578.55

23 more codes

0011A		<1%	13	$493.23
90662		<1%	13	$480.90
94760		<1%	2,817	$403.25
90688		<1%	26	$304.61
82950		<1%	79	$227.88
A4556	Electrodes, (e.g., apnea monitor), per pair	<1%	307	$51.13
G8420	Bmi is documented within normal parameters and no follow-up plan is required	<1%	96	$38.50
G8417	Bmi is documented above normal parameters and a follow-up plan is documented	<1%	104	$17.50
G8427	Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications	<1%	34	$17.50
3079F		<1%	255	$2.00
G0444	Annual depression screening, 5 to 15 minutes	<1%	138	$1.00
3074F		<1%	306	$0.01
1159F		0%	346	$0.00
1160F		0%	295	$0.00
3725F		0%	31	$0.00
G8731	Pain assessment using a standardized tool is documented as negative, no follow-up plan required	0%	15	$0.00
1158F		0%	15	$0.00
G8542	Functional outcome assessment using a standardized tool is documented; no functional deficiencies identified, care plan not required	0%	119	$0.00
S9452	Nutrition classes, non-physician provider, per session	0%	181	$0.00
99429		0%	120	$0.00
91301		0%	12	$0.00
S9451	Exercise classes, non-physician provider, per session	0%	379	$0.00
G8510	Screening for depression is documented as negative, a follow-up plan is not required	0%	12	$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.