Francisco, Dalmacio

Francisco, Dalmacio was paid $126K by Medicaid between Jan 2018 and May 2020, across 7 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 80% of everything it billed.

33Billing provider infoFRANCISCO, DALMACIO
LONG ISLAND CITY, NY 11101

33aNPI1922084763assigned 12/22/2005

33bProvider typeInternal Medicine Physician

28Total paid$126K

24GClaims3,160

24DCodes billed7

24AFirst – last monthJan 2018 – May 2020

Compared with peers

Next to other Internal Medicine Physician providers in New York

Rank by total paid#1,125 of 6,049

Median peer was paid$11K

This provider vs. median11×

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.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

OIG exclusionListed on the federal exclusion list (10/19/2023).

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	1,149	$51K
2019	1,501	$53K
2020	510	$21K

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	80%	1,795	1,514	$101K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	17%	589	539	$21K
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	<1%	86	86	$963.12
93000		<1%	108	106	$884.06
90658		<1%	87	87	$791.42
36415	Collection of venous blood by venipuncture	<1%	458	457	$730.75
99001		<1%	37	37	$180.14

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.