Physician
Carlos C. Jimenez MD Professional Corporation
Carlos C. Jimenez MD Professional Corporation was paid $130K by Medicaid between Jan 2018 and Oct 2021, across 6 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 61% of everything it billed.
33Billing provider infoCARLOS C. JIMENEZ MD PROFESSIONAL CORPORATION
GLEN DALE, WV 26038
GLEN DALE, WV 26038
33aNPI1124216742assigned 10/09/2007
33bProvider typeInternal Medicine Physician
28Total paid$130K
24GClaims2,583
24DCodes billed6
24AFirst – last monthJan 2018 – Oct 2021
Compared with peers
Next to other Internal Medicine Physician providers in West Virginia
Rank by total paid#30 of 96
Median peer was paid$24K
This provider vs. median5.5×
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 | 626 | $47K | |
| 2019 | 386 | $15K | |
| 2020 | 692 | $40K | |
| 2021 | 879 | $28K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 61% | 1,454 | 1,198 | $80K |
| 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 | 33% | 552 | 463 | $43K |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | 4.0% | 532 | 163 | $5K |
| 90686 | <1% | 15 | 15 | $920.50 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 13 | 13 | $883.20 |
| 99406 | <1% | 17 | 12 | $807.50 |
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 F Jimenez, MD | Chula Vista, CA | $65K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.