Clinic
Carlos E Puig Mdpa
Carlos E Puig Mdpa was paid $4.76M by Medicaid between Jan 2019 and Dec 2024, across 46 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 24% of everything it billed.
33Billing provider infoCARLOS E PUIG MDPA
MCALLEN, TX 78501
MCALLEN, TX 78501
33aNPI1053896365assigned 10/02/2018
33bProvider typeMulti-Specialty Clinic/Center
28Total paid$4.76M
24GClaims149,208
24DCodes billed46
24AFirst – last monthJan 2019 – Dec 2024
Compared with peers
Next to other Multi-Specialty Clinic/Center providers in Texas
Rank by total paid#8 of 86
Median peer was paid$191K
This provider vs. median25×
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 | 1,328 | $42K | |
| 2020 | 13,118 | $361K | |
| 2021 | 33,140 | $1.09M | |
| 2022 | 31,532 | $1.05M | |
| 2023 | 36,035 | $1.19M | |
| 2024incomplete | 34,055 | $1.03M |
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 | 24% | 25,211 | 15,171 | $1.16M |
| 76818 | 14% | 7,253 | 3,233 | $663K | |
| 59409 | Vaginal delivery only (with or without episiotomy and/or forceps) | 11% | 911 | 903 | $545K |
| 87801 | Infectious agent detection by nucleic acid; amplified probe, multiple organisms | 5.0% | 4,866 | 4,740 | $239K |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | 4.8% | 2,609 | 2,566 | $228K |
| 76817 | Ultrasound, pregnant uterus, real time with image documentation, transvaginal | 4.0% | 2,633 | 2,126 | $189K |
| 59430 | 3.7% | 1,937 | 1,588 | $177K | |
| 87800 | 3.6% | 5,558 | 5,440 | $173K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 3.3% | 4,681 | 3,822 | $159K |
| 76830 | Ultrasound, transvaginal | 3.3% | 1,672 | 1,555 | $156K |
| 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 | 3.2% | 1,995 | 1,945 | $151K |
| 59514 | 3.1% | 218 | 212 | $145K |
34 more codes
| 76813 | 2.2% | 1,168 | $107K | |
| 99000 | 2.1% | 10,277 | $102K | |
| 87806 | 1.9% | 4,010 | $89K | |
| 81002 | 1.8% | 33,491 | $84K | |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 1.2% | 9,949 | $57K |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | 1.1% | 507 | $52K |
| 81025 | 1.1% | 8,270 | $51K | |
| 82607 | <1% | 2,572 | $26K | |
| 87491 | Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe | <1% | 1,005 | $25K |
| 87591 | Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe | <1% | 1,003 | $25K |
| 82746 | <1% | 2,466 | $25K | |
| 82728 | <1% | 2,556 | $24K | |
| 76801 | <1% | 211 | $19K | |
| 76815 | Ultrasound, pregnant uterus, real time with image documentation, limited | <1% | 245 | $16K |
| 84443 | Thyroid stimulating hormone (TSH) | <1% | 1,147 | $13K |
| 86592 | <1% | 3,512 | $10K | |
| 59515 | <1% | 12 | $10K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 802 | $7K |
| 86762 | <1% | 627 | $6K | |
| 82947 | <1% | 2,140 | $6K | |
| 86703 | <1% | 473 | $6K | |
| 82950 | <1% | 2,015 | $6K | |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | <1% | 257 | $5K |
| 84439 | <1% | 447 | $3K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 49 | $2K |
| 84480 | <1% | 185 | $2K | |
| 84481 | <1% | 63 | $778.39 | |
| 82306 | Vitamin D; 25 hydroxy, includes fraction(s), if performed | <1% | 28 | $559.36 |
| 59025 | Fetal non-stress test | <1% | 13 | $498.02 |
| 87660 | <1% | 23 | $371.00 | |
| 87480 | <1% | 23 | $327.16 | |
| 84702 | <1% | 33 | $304.06 | |
| 82951 | <1% | 62 | $229.73 | |
| 87510 | <1% | 23 | $65.08 |
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 officialPUIG, CARLOS (OWNER)