Physician
Melendez, Carlos
Melendez, Carlos was paid $882K by Medicaid between Sep 2020 and Dec 2024, across 24 billing codes. Its largest line is 99393, Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) — 24% of everything it billed.
33Billing provider infoMELENDEZ, CARLOS
PASADENA, TX 77502
PASADENA, TX 77502
33aNPI1083616007assigned 08/10/2005
33bProvider typePediatrics Physician
28Total paid$882K
24GClaims21,079
24DCodes billed24
24AFirst – last monthSep 2020 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Texas
Rank by total paid#395 of 1,136
Median peer was paid$329K
This provider vs. median2.7×
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 | |
|---|---|---|---|
| 2020 | 1,658 | $46K | |
| 2021 | 6,656 | $243K | |
| 2022 | 5,647 | $200K | |
| 2023 | 3,857 | $212K | |
| 2024incomplete | 3,261 | $181K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 24% | 2,354 | 2,286 | $208K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 20% | 4,685 | 4,160 | $180K |
| 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 | 20% | 3,310 | 3,087 | $178K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 18% | 1,996 | 1,912 | $163K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 9.8% | 1,088 | 1,026 | $86K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 4.4% | 411 | 385 | $39K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 2.8% | 2,406 | 2,330 | $25K |
| 90461 | <1% | 2,389 | 1,171 | $2K | |
| 97169 | <1% | 14 | 14 | $434.00 | |
| 90686 | 0% | 428 | 427 | $0.00 | |
| 90716 | 0% | 219 | 204 | $0.00 | |
| 90723 | 0% | 269 | 255 | $0.00 |
12 more codes
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.