Physician
Carlos R Elizondo MD PLLC
Carlos R Elizondo MD PLLC was paid $727K by Medicaid between Jan 2018 and Aug 2024, across 44 billing codes. Its largest line is 99444, — 42% of everything it billed.
33Billing provider infoCARLOS R ELIZONDO MD PLLC
ALICE, TX 78332
ALICE, TX 78332
33aNPI1104278860assigned 07/06/2016
33bProvider typeFamily Medicine Physician
28Total paid$727K
24GClaims32,197
24DCodes billed44
24AFirst – last monthJan 2018 – Aug 2024
Compared with peers
Next to other Family Medicine Physician providers in Texas
Rank by total paid#130 of 1,204
Median peer was paid$31K
This provider vs. median24×
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 | 5,173 | $149K | |
| 2019 | 5,163 | $176K | |
| 2020 | 7,444 | $205K | |
| 2021 | 7,664 | $90K | |
| 2022 | 5,346 | $74K | |
| 2023 | 1,289 | $27K | |
| 2024incomplete | 118 | $6K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99444 | 42% | 5,424 | 1,375 | $308K | |
| 99423 | 25% | 3,185 | 1,016 | $179K | |
| 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 | 13% | 4,698 | 4,192 | $96K |
| 99422 | 4.5% | 1,481 | 715 | $33K | |
| 99091 | 4.3% | 243 | 240 | $31K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 4.2% | 1,709 | 1,464 | $31K |
| 99308 | Subsequent nursing facility care, per day, straightforward | 1.8% | 4,166 | 1,292 | $13K |
| 99421 | 1.3% | 524 | 332 | $9K | |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | <1% | 1,401 | 568 | $7K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 630 | 544 | $4K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | <1% | 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% | 1,458 | 1,458 | $3K |
32 more codes
| 99442 | <1% | 387 | $2K | |
| 99457 | <1% | 938 | $2K | |
| 99490 | Ccm add 20min | <1% | 756 | $2K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 31 | $898.34 |
| 99458 | <1% | 520 | $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 | <1% | 711 | $761.29 |
| 99443 | <1% | 27 | $337.96 | |
| 90682 | <1% | 16 | $229.80 | |
| 93000 | <1% | 32 | $109.13 | |
| 81003 | <1% | 80 | $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) | <1% | 15 | $61.26 |
| 82947 | <1% | 357 | $2.91 | |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 14 | $0.75 |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 124 | $0.00 |
| G9903 | Patient screened for tobacco use and identified as a tobacco non-user | 0% | 32 | $0.00 |
| G8755 | Most recent diastolic blood pressure >= 90 mmhg | 0% | 157 | $0.00 |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 31 | $0.00 |
| 83036 | Hemoglobin; glycosylated (A1C) | 0% | 156 | $0.00 |
| 36415 | Collection of venous blood by venipuncture | 0% | 183 | $0.00 |
| G0008 | Administration of influenza virus vaccine | 0% | 37 | $0.00 |
| 99318 | 0% | 16 | $0.00 | |
| 1125F | 0% | 40 | $0.00 | |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 0% | 57 | $0.00 |
| J3420 | Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg | 0% | 12 | $0.00 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 2,172 | $0.00 |
| G8753 | Most recent systolic blood pressure >= 140 mmhg | 0% | 101 | $0.00 |
| 99497 | 0% | 49 | $0.00 | |
| G0444 | Annual depression screening, 5 to 15 minutes | 0% | 58 | $0.00 |
| 90662 | 0% | 13 | $0.00 | |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 0% | 12 | $0.00 |
| G8482 | Influenza immunization administered or previously received | 0% | 19 | $0.00 |
| G0438 | Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit | 0% | 13 | $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.
From NPPES
Who's on the registration
Authorized officialELIZONDO, CARLOS (AUTHORIZED OFFICIAL)