Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

CARLOS R ELIZONDO MD PLLC

NPI: 1104278860 · ALICE, TX 78332 · Family Medicine Physician · NPI assigned 07/06/2016

$727K
Total Medicaid Paid
32,197
Total Claims
19,986
Beneficiaries
44
Codes Billed
2018-01
First Month
2024-08
Last Month

Provider Details

Authorized OfficialELIZONDO, CARLOS (AUTHORIZED OFFICIAL)
NPI Enumeration Date07/06/2016

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 5,173 $149K
2019 5,163 $176K
2020 7,444 $205K
2021 7,664 $90K
2022 5,346 $74K
2023 1,289 $27K
2024 118 $6K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99444 5,424 1,375 $308K
99423 3,185 1,016 $179K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 4,698 4,192 $96K
99422 1,481 715 $33K
99091 243 240 $31K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,709 1,464 $31K
99308 Subsequent nursing facility care, per day, straightforward 4,166 1,292 $13K
99421 524 332 $9K
99309 Subsequent nursing facility care, per day, low to moderate complexity 1,401 568 $7K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 630 544 $4K
99215 Prolong outpt/office vis 112 108 $4K
G0179 Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care 1,458 1,458 $3K
99442 387 352 $2K
99457 938 934 $2K
99490 Ccm add 20min 756 755 $2K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 31 31 $898.34
99458 520 517 $830.87
G0181 Physician or allowed practitioner supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and multidisciplinary care modalities involving regular physician or allowed practitioner development and/or revision of care plans 711 711 $761.29
99443 27 25 $337.96
90682 16 15 $229.80
93000 32 32 $109.13
81003 80 73 $65.86
G0506 Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service) 15 12 $61.26
82947 357 320 $2.91
J1100 Injection, dexamethasone sodium phosphate, 1 mg 14 12 $0.75
G8754 Most recent diastolic blood pressure < 90 mmhg 124 120 $0.00
G9903 Patient screened for tobacco use and identified as a tobacco non-user 32 31 $0.00
G8755 Most recent diastolic blood pressure >= 90 mmhg 157 140 $0.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 31 30 $0.00
83036 Hemoglobin; glycosylated (A1C) 156 154 $0.00
36415 Collection of venous blood by venipuncture 183 171 $0.00
G0008 Administration of influenza virus vaccine 37 37 $0.00
99318 16 16 $0.00
1125F 40 38 $0.00
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 57 56 $0.00
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg 12 12 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 2,172 1,831 $0.00
G8753 Most recent systolic blood pressure >= 140 mmhg 101 96 $0.00
99497 49 48 $0.00
G0444 Annual depression screening, 5 to 15 minutes 58 57 $0.00
90662 13 13 $0.00
G8752 Most recent systolic blood pressure < 140 mmhg 12 12 $0.00
G8482 Influenza immunization administered or previously received 19 18 $0.00
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit 13 13 $0.00