Decastro Peguero, Claricio

Decastro Peguero, Claricio was paid $6K by Medicaid between Sep 2018 and Oct 2024, across 3 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 52% of everything it billed.

33Billing provider infoDECASTRO PEGUERO, CLARICIO
NEW YORK, NY 10037

33aNPI1841204211assigned 07/28/2006

33bProvider typePain Medicine (Anesthesiology) Physician

28Total paid$6K

24GClaims311

24DCodes billed3

24AFirst – last monthSep 2018 – Oct 2024

Compared with peers

Next to other Pain Medicine (Anesthesiology) Physician providers in New York

Rank by total paid#83 of 125

Median peer was paid$14K

This provider vs. median0.4×

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	14	$168.98
2019	27	$329.32
2020	13	$120.87
2022	52	$919.59
2023	115	$2K
2024incomplete	90	$2K

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	52%	171	167	$3K
20610		36%	78	77	$2K
20552		13%	62	59	$719.43

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.