Mercado, Arlene

Mercado, Arlene was paid $1.62M by Medicaid between Jan 2018 and Nov 2024, across 11 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 89% of everything it billed.

33Billing provider infoMERCADO, ARLENE
ELMHURST, NY 11373

33aNPI1740354315assigned 11/17/2006

33bProvider typePediatric Endocrinology Physician

28Total paid$1.62M

24GClaims22,966

24DCodes billed11

24AFirst – last monthJan 2018 – Nov 2024

Compared with peers

Next to other Pediatric Endocrinology Physician providers in New York

Rank by total paid#5 of 36

Median peer was paid$22K

This provider vs. median75×

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	3,648	$240K
2019	3,911	$256K
2020	3,353	$215K
2021	4,002	$312K
2022	2,937	$224K
2023	2,469	$186K
2024incomplete	2,646	$188K

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	89%	14,128	10,921	$1.44M
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	7.6%	854	851	$123K
99403		1.2%	319	260	$20K
36415	Collection of venous blood by venipuncture	<1%	6,718	6,510	$11K
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%	137	124	$10K
96156		<1%	170	170	$5K
97802		<1%	341	340	$3K
99402		<1%	43	43	$2K
99404		<1%	17	17	$1K
96154		<1%	189	188	$771.32
99415	Prolong outpt/office vis	<1%	50	50	$700.21

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.