Physician
Sergio Abarca, M.D., INC
Sergio Abarca, M.D., INC was paid $155K by Medicaid between May 2021 and Mar 2023, across 2 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 91% of everything it billed.
33Billing provider infoSERGIO ABARCA, M.D., INC
TOOELE, UT 84074
TOOELE, UT 84074
33aNPI1770766586assigned 12/14/2007
33bProvider typeFamily Medicine Physician
28Total paid$155K
24GClaims2,158
24DCodes billed2
24AFirst – last monthMay 2021 – Mar 2023
Compared with peers
Next to other Family Medicine Physician providers in Utah
Rank by total paid#63 of 426
Median peer was paid$12K
This provider vs. median12×
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 | |
|---|---|---|---|
| 2021 | 358 | $27K | |
| 2022 | 1,635 | $114K | |
| 2023 | 165 | $15K |
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 | 91% | 1,924 | 1,462 | $142K |
| 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 | 8.6% | 234 | 207 | $13K |
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 officialABARCA, SERGIO (MEDICAL DOCTOR)