Macedo, Nathan

Macedo, Nathan was paid $2K by Medicaid between Oct 2022 and Nov 2024, across 4 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 38% of everything it billed.

33Billing provider infoMACEDO, NATHAN
GREENFIELD, MA 01301

33aNPI1740661768assigned 06/16/2015

33bProvider typeFamily Medicine Physician

28Total paid$2K

24GClaims900

24DCodes billed4

24AFirst – last monthOct 2022 – Nov 2024

Compared with peers

Next to other Family Medicine Physician providers in Massachusetts

Rank by total paid#581 of 744

Median peer was paid$10K

This provider vs. median0.2×

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
2022	13	$660.05
2023	509	$1K
2024incomplete	378	$179.67

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	38%	385	381	$709.70
S0302	Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service)	35%	76	76	$659.24
96127		25%	44	44	$472.42
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	1.9%	395	390	$35.89

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.