Physician
Carlos F Jimenez, MD
Carlos F Jimenez, MD was paid $65K by Medicaid between Jan 2018 and May 2019, across 7 billing codes. Its largest line is 99204, doctor's office visit, new patient (more involved) — 37% of everything it billed.
33Billing provider infoCARLOS F JIMENEZ, MD
CHULA VISTA, CA 91910
CHULA VISTA, CA 91910
33aNPI1104914696assigned 10/10/2006
33bProvider typeOtolaryngology Physician
28Total paid$65K
24GClaims1,435
24DCodes billed7
24AFirst – last monthJan 2018 – May 2019
Compared with peers
Next to other Otolaryngology Physician providers in California
Rank by total paid#87 of 168
Median peer was paid$67K
This provider vs. median1.0×
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 | 1,035 | $47K | |
| 2019 | 400 | $18K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 37% | 241 | 241 | $24K |
| 92557 | 24% | 389 | 388 | $15K | |
| 99205 | Prolong outpt/office vis | 15% | 77 | 77 | $10K |
| 92567 | 12% | 379 | 378 | $8K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 10% | 322 | 316 | $7K |
| 31575 | 1.5% | 12 | 12 | $998.35 | |
| 69210 | <1% | 15 | 15 | $213.16 |
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 officialJIMENEZ, CARLOS (OWNER)
| Provider | Location | Paid |
|---|---|---|
| Carlos E. Jimenez Huyke MD PSC | Humacao, PR | $432K |
| Carlos C. Jimenez MD Professional Corporation | Glen Dale, WV | $130K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.