Physician
Sixto M Lirio MD PA
Sixto M Lirio MD PA was paid $1K by Medicaid between Feb 2020 and Apr 2024, across 2 billing codes. Its largest line is 99308, Subsequent nursing facility care, per day, straightforward — 80% of everything it billed.
33Billing provider infoSIXTO M LIRIO MD PA
CAPE MAY COURT HOUSE, NJ 08210
CAPE MAY COURT HOUSE, NJ 08210
33aNPI1861688178assigned 09/20/2007
33bProvider typeFamily Medicine Physician
28Total paid$1K
24GClaims393
24DCodes billed2
24AFirst – last monthFeb 2020 – Apr 2024
Compared with peers
Next to other Family Medicine Physician providers in New Jersey
Rank by total paid#354 of 414
Median peer was paid$28K
This provider vs. median0.0×
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 | |
|---|---|---|---|
| 2020 | 131 | $193.91 | |
| 2021 | 69 | $47.76 | |
| 2023 | 163 | $751.13 | |
| 2024incomplete | 30 | $244.53 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99308 | Subsequent nursing facility care, per day, straightforward | 80% | 343 | 316 | $990.38 |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | 20% | 50 | 37 | $246.95 |
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 officialLIRIO, SIXTO (PRESIDENT)