Diaz, Carlos

Diaz, Carlos was paid $923K by Medicaid between Dec 2018 and Jun 2023, across 5 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 80% of everything it billed.

33Billing provider infoDIAZ, CARLOS
MIAMI, FL 33176

33aNPI1083687917assigned 02/10/2006

33bProvider typePediatric Pulmonology Physician

28Total paid$923K

24GClaims7,042

24DCodes billed5

24AFirst – last monthDec 2018 – Jun 2023

Compared with peers

Next to other Pediatric Pulmonology Physician providers in Florida

Rank by total paid#4 of 14

Median peer was paid$346K

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
2018	80	$9K
2019	1,399	$179K
2020	1,240	$144K
2021	1,567	$206K
2022	1,823	$255K
2023	933	$130K

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	80%	5,863	5,353	$737K
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	14%	747	737	$131K
99244	Office or other outpatient consultation, moderate to high complexity	4.7%	228	224	$43K
99205	Prolong outpt/office vis	1.1%	44	44	$11K
99072		0%	160	149	$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.