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

Marcilla, Oscar

Marcilla, Oscar was paid $57K by Medicaid between Jan 2018 and Oct 2024, across 4 billing codes. Its largest line is 99285, emergency room visit (most serious) — 40% of everything it billed.

33Billing provider infoMARCILLA, OSCAR
LIVINGSTON, NJ 07039
33aNPI1679522486assigned 05/09/2006
28Total paid$57K
24GClaims2,391
24DCodes billed4
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers

Next to other Emergency Medicine Physician providers in New Jersey

Rank by total paid#75 of 235
Median peer was paid$10K
This provider vs. median5.7×

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$1.0K$2.0K$3.0K2018201920202021202220232024
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
2018173$5K
2019365$7K
2020427$9K
2021397$9K
2022324$9K
2023324$10K
2024incomplete381$9K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99285 Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life 40% 704 696 $23K
99283 Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity 31% 889 881 $18K
99284 Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity 20% 388 386 $11K
99282 Emergency department visit for the evaluation and management, low to moderate severity 9.6% 410 410 $6K

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.