Physician

Julio C Machado, MD

According to 2025 Medicare claims, Julio Machado, MD (NPI: 1275579047) practices general psychiatry in the Miami-Miami Beach-Kendall, FL market, with the plurality of this provider's patient population coming from Miami-Dade, FL. Machado uses personal NPI as billing NPI and primary practice location at 33155-2800. Machado is affiliated with the Health Choice Care, LLC (ACO ID: A2147), participating under the MSSP model.

Machado's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 33 traditional Medicare patients, billed 55 HCPCS/CPT codes, and received $4,551 in Medicare payments. The top billing code was 99222 (Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes). Part D data shows 3,606 prescription claims across 126 beneficiaries totaling $335,666 in drug costs, led by Invega Sustenna (Paliperidone Palmitate). Open Payments data shows 67 records totaling $1,675. You can download detailed data with all billing codes (2015-2024). For more recent data, please contact us.

Over the past 10 years, this provider's Medicare Part B carrier billing has declined steadily, from $47,794 to $4,551. Concurrently, Part D prescription costs have moved up and down with repeated peaks and valleys, starting at $343,882 and ending at $335,666. For DME billing, this provider has fewer than 5 years of reported data, so a reliable trend cannot be assigned.

Part B Carrier Billing Trend

Medicare payment trend, with N of patients and claim lines in the table.

Year	Patients	Clm Lines	Payment
2015	342	527	$47,794
2016	255	365	$34,498
2017	179	294	$25,801
2018	202	336	$31,413
2019	137	244	$22,179
2020	96	161	$14,785
2021	174	258	$25,746
2022	44	64	$6,231
2023	81	133	$12,014
2024	33	55	$4,551

Part D Events Trend

Drug cost trend, with N of patients and prescription claims in the table.

Year	Patients	Claims	Drug Cost
2015	200	3,561	$343,882
2016	193	3,339	$297,432
2017	196	3,274	$221,365
2018	187	3,076	$292,375
2019	158	3,111	$209,634
2020	147	3,146	$228,583
2021	170	3,654	$402,846
2022	170	3,954	$491,361
2023	143	3,963	$509,953
2024	126	3,606	$335,666

DME Billing Trend

Medicare payment trend, with N of patients and DME claim records in the table.

No connected DME records

* / # = suppressed by CMS; 0 = reported zero; N/R = not reported or blank.

Top 5 Part B carrier billing codes in 2024

By total payments.

Code	Description	Patients	Clm Lines	Total Payment
99222	Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	14	14	$111
99308	Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more	13	27	$62

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Invega Sustenna	Paliperidone Palmitate	30	850	$68,128
Austedo Xr	Deutetrabenazine	11	330	$47,484
Vraylar	Cariprazine Hcl	23	590	$24,800
Rexulti	Brexpiprazole	15	450	$21,573
Lurasidone Hcl	Lurasidone Hcl	86	2,532	$17,514

Top 5 DME services in 2024

No connected or detailed DME service-level records for 2024.

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	67	$1,675	Janssen Pharmaceuticals, Inc
Research Payments	Reported research-related payment or transfer-of-value amount.	0	$0	N/R
Ownership / Investment Interests	Reported value of ownership or investment interests.	0	$0	N/R

Explore More Providers

General Psychiatry providers in the Miami-Miami Beach-Kendall, FL market
Providers within practice ZIP code 33155-2800
Providers whose plurality patient county is Miami-Dade, FL
Providers in Florida affiliated with Health Choice Care, LLC (MSSP)

FAQ

What Medicare data is available for Julio C. Machado, MD?

Tedicare shows public-source Medicare data for Julio C. Machado, MD (NPI 1275579047), including provider identity, specialty, market context, Medicare Part B activity, Part D prescribing, DME records, Open Payments where available, billing organization details, and ACO affiliation signals where available. Profile data covers 2015-2024, with current attribution based on 2025 claims where available.

Does Julio C. Machado, MD have ACO affiliation data?

Julio C. Machado, MD is shown with ACO affiliation data for Health Choice Care, LLC (MSSP, ACO ID A2147).

What billing organization is linked to Julio C. Machado, MD?

A separate primary affiliated billing organization is not shown for this profile in the available data.

Does Julio C. Machado, MD have Open Payments data?

Julio C. Machado, MD has 67 connected Open Payments records in the available 2024 summary data.

Can I download physician-level Medicare data from Tedicare?

Yes. Tedicare provides sample physician export data and paid custom physician data exports for research, planning, outreach, and market analysis. Exports can include physician profile fields, market and specialty context, billing organization details, ACO affiliation signals where available, and Medicare utilization data.