Physician
Centro Medico Del Carmen, a Medical Corporation
Centro Medico Del Carmen, a Medical Corporation was paid $5K by Medicaid between Jan 2018 and Feb 2020, across 3 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 52% of everything it billed.
33Billing provider infoCENTRO MEDICO DEL CARMEN, A MEDICAL CORPORATION
ESCONDIDO, CA 92025
ESCONDIDO, CA 92025
33aNPI1063621738assigned 05/21/2007
33bProvider typeGeneral Practice Physician
28Total paid$5K
24GClaims827
24DCodes billed3
24AFirst – last monthJan 2018 – Feb 2020
Compared with peers
Next to other General Practice Physician providers in California
Rank by total paid#285 of 474
Median peer was paid$10K
This provider vs. median0.5×
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 | 506 | $5K | |
| 2019 | 307 | $481.68 | |
| 2020 | 14 | $0.00 |
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 | 52% | 203 | 198 | $3K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 43% | 612 | 578 | $2K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 5.0% | 12 | 12 | $264.60 |
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 officialWATSON, THOMAS (CEO)
| Provider | Location | Paid |
|---|---|---|
| City of Mequon | Mequon, WI | $5K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.