Marco a Benitez Mdpa

Marco a Benitez Mdpa was paid $102K by Medicaid between Jan 2018 and Dec 2024, across 9 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 90% of everything it billed.

33Billing provider infoMARCO A BENITEZ MDPA
LUFKIN, TX 75904

33aNPI1780857417assigned 04/02/2008

33bProvider typeNeurology Physician

28Total paid$102K

24GClaims6,720

24DCodes billed9

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other Neurology Physician providers in Texas

Rank by total paid#25 of 122

Median peer was paid$15K

This provider vs. median6.8×

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	1,009	$9K
2020	896	$13K
2021	1,492	$33K
2022	1,599	$14K
2023	1,065	$15K
2024incomplete	659	$17K

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	90%	6,381	5,977	$92K
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	4.7%	124	124	$5K
95816		3.8%	38	36	$4K
95957		<1%	39	37	$474.67
95921		<1%	38	28	$404.33
95923		<1%	38	28	$148.12
93922		<1%	38	28	$104.41
95886		<1%	12	12	$21.00
95911		<1%	12	12	$14.04

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 officialBENITEZ, MARCO (PHYSICIAN/OWNER)