Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Zapiach, Mauricio

Zapiach, Mauricio was paid $13K by Medicaid between Oct 2018 and Nov 2023, across 5 billing codes. Its largest line is 43239, Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple — 53% of everything it billed.

33Billing provider infoZAPIACH, MAURICIO
WEST NEW YORK, NJ 07093
33aNPI1831260777assigned 11/13/2006
33bProvider typeSpecialist
28Total paid$13K
24GClaims471
24DCodes billed5
24AFirst – last monthOct 2018 – Nov 2023
Compared with peers

Next to other Specialist providers in New Jersey

Rank by total paid#261 of 378
Median peer was paid$63K
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

$0$2.5K$5.0K$7.5K2018201920202021202220232024
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
201821$171.96
201977$864.95
202018$592.18
202252$331.00
2023303$11K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 53% 76 72 $7K
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 36% 184 181 $5K
45380 Colonoscopy, flexible; with biopsy, single or multiple 11% 30 28 $1K
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% 151 124 $47.00
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 0% 30 26 $0.00

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.