Physician
Carbayo, Antonio
Carbayo, Antonio was paid $257K by Medicaid between Jan 2018 and Dec 2024, across 21 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 53% of everything it billed.
33Billing provider infoCARBAYO, ANTONIO
SANTA ANA, CA 92706
SANTA ANA, CA 92706
33aNPI1033149356assigned 07/03/2006
33bProvider typeFamily Medicine Physician
28Total paid$257K
24GClaims11,024
24DCodes billed21
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Family Medicine Physician providers in California
Rank by total paid#381 of 2,511
Median peer was paid$13K
This provider vs. median20×
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 | 2,690 | $60K | |
| 2019 | 2,323 | $70K | |
| 2020 | 1,611 | $26K | |
| 2021 | 1,196 | $23K | |
| 2022 | 1,051 | $21K | |
| 2023 | 1,224 | $23K | |
| 2024incomplete | 929 | $35K |
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 | 53% | 5,555 | 4,775 | $136K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 16% | 139 | 134 | $42K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 4.5% | 174 | 174 | $12K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 4.1% | 156 | 148 | $11K |
| 90686 | 3.9% | 780 | 780 | $10K | |
| 92551 | 3.3% | 707 | 707 | $9K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 2.7% | 102 | 98 | $7K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 2.2% | 124 | 124 | $6K |
| A4267 | Contraceptive supply, condom, male, each | 1.9% | 345 | 345 | $5K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 1.3% | 82 | 53 | $3K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 1.2% | 44 | 41 | $3K |
| 90658 | 1.1% | 143 | 143 | $3K |
9 more codes
| S9445 | Patient education, not otherwise classified, non-physician provider, individual, per session | 1.1% | 223 | $3K |
| 81000 | <1% | 804 | $2K | |
| 99205 | Prolong outpt/office vis | <1% | 18 | $2K |
| 85018 | <1% | 879 | $2K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 350 | $1K |
| 99000 | <1% | 164 | $595.32 | |
| 90656 | <1% | 15 | $403.59 | |
| 85999 | <1% | 123 | $370.23 | |
| 99173 | <1% | 97 | $296.38 |
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.