CARLOS C. JIMENEZ MD PROFESSIONAL CORPORATION
NPI: 1124216742
· GLEN DALE, WV 26038
· Internal Medicine Physician
· NPI assigned 10/09/2007
$130K
Total Medicaid Paid
Provider Details
Related Entities
Other providers sharing the same authorized official: JIMENEZ, CARLOS
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
626 |
$47K |
| 2019 |
386 |
$15K |
| 2020 |
692 |
$40K |
| 2021 |
879 |
$28K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,454 |
1,198 |
$80K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
552 |
463 |
$43K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
532 |
163 |
$5K |
| 90686 |
|
15 |
15 |
$920.50 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
13 |
13 |
$883.20 |
| 99406 |
|
17 |
12 |
$807.50 |