Lavayen, Carlos
Lavayen, Carlos was paid $9K by Medicaid between Oct 2021 and Jan 2023, across 5 billing codes. Its largest line is 97110, Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion — 67% of everything it billed.
33Billing provider infoLAVAYEN, CARLOS
MISSION VIEJO, CA 92691
MISSION VIEJO, CA 92691
33aNPI1003979493assigned 12/18/2006
33bProvider typePhysical Therapist
28Total paid$9K
24GClaims4,245
24DCodes billed5
24AFirst – last monthOct 2021 – Jan 2023
Compared with peers
Next to other Physical Therapist providers in California
Rank by total paid#309 of 501
Median peer was paid$35K
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
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 | |
|---|---|---|---|
| 2021 | 587 | $9K | |
| 2022 | 3,453 | $0.00 | |
| 2023 | 205 | $0.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | 67% | 1,192 | 558 | $6K |
| 97162 | 32% | 324 | 321 | $3K | |
| 97112 | Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination | 1.2% | 1,011 | 471 | $100.00 |
| 97035 | 0% | 613 | 276 | $0.00 | |
| 97010 | 0% | 1,105 | 508 | $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.