Physician
Carlos a Mendez MD PA
Carlos a Mendez MD PA was paid $616K by Medicaid between Jan 2019 and Dec 2022, across 25 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 60% of everything it billed.
33Billing provider infoCARLOS A MENDEZ MD PA
BRADENTON, FL 34205
BRADENTON, FL 34205
33aNPI1043628118assigned 08/01/2014
33bProvider typePediatrics Physician
28Total paid$616K
24GClaims27,465
24DCodes billed25
24AFirst – last monthJan 2019 – Dec 2022
Compared with peers
Next to other Pediatrics Physician providers in Florida
Rank by total paid#345 of 971
Median peer was paid$238K
This provider vs. median2.6×
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 | |
|---|---|---|---|
| 2019 | 8,006 | $196K | |
| 2020 | 5,440 | $143K | |
| 2021 | 5,312 | $155K | |
| 2022 | 8,707 | $122K |
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 | 60% | 8,214 | 5,698 | $367K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 12% | 3,262 | 1,900 | $76K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 9.3% | 716 | 643 | $57K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 7.7% | 653 | 491 | $47K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 4.5% | 490 | 415 | $28K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 2.0% | 219 | 180 | $12K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 1.6% | 892 | 619 | $10K |
| 99401 | 1.3% | 108 | 102 | $8K | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 2,518 | 1,390 | $3K |
| 90461 | <1% | 1,514 | 887 | $2K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 1,094 | 761 | $2K |
| 92551 | <1% | 1,507 | 1,133 | $1K |
13 more codes
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 845 | $956.90 |
| 90670 | <1% | 659 | $208.76 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 2,235 | $157.44 |
| 90686 | <1% | 265 | $80.00 | |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | 0% | 29 | $0.00 |
| 90698 | 0% | 22 | $0.00 | |
| 87276 | 0% | 216 | $0.00 | |
| 90697 | 0% | 92 | $0.00 | |
| 90647 | 0% | 14 | $0.00 | |
| 90688 | 0% | 18 | $0.00 | |
| 99173 | 0% | 1,644 | $0.00 | |
| 87275 | 0% | 216 | $0.00 | |
| 90681 | 0% | 23 | $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.
From NPPES
Who's on the registration
Authorized officialMENDEZ, CARLOS (PHYSICIAN)
| Provider | Location | Paid |
|---|---|---|
| Mendez Nursing Care INC. | Hialeah, FL | $177K |
| Elite Kidney Care, LLC | Naples, FL | $8K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.