Physician
Carlos T De Carvalho M D INC
Carlos T De Carvalho M D INC was paid $68K by Medicaid between Jan 2018 and Oct 2024, across 23 billing codes. Its largest line is 99309, Subsequent nursing facility care, per day, low to moderate complexity — 56% of everything it billed.
33Billing provider infoCARLOS T DE CARVALHO M D INC
CHULA VISTA, CA 91910
CHULA VISTA, CA 91910
33aNPI1144231028assigned 08/10/2006
33bProvider typeInternal Medicine Physician
28Total paid$68K
24GClaims12,805
24DCodes billed23
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers
Next to other Internal Medicine Physician providers in California
Rank by total paid#775 of 2,679
Median peer was paid$13K
This provider vs. median5.4×
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 | 3,278 | $22K | |
| 2019 | 2,243 | $20K | |
| 2020 | 1,345 | $12K | |
| 2021 | 949 | $6K | |
| 2022 | 2,335 | $3K | |
| 2023 | 1,623 | $5K | |
| 2024incomplete | 1,032 | $910.33 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | 56% | 2,417 | 695 | $38K |
| 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 | 35% | 4,837 | 4,638 | $24K |
| 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 | 6.0% | 165 | 164 | $4K |
| 99443 | 2.6% | 227 | 210 | $2K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | <1% | 230 | 218 | $272.88 |
| 96156 | <1% | 476 | 476 | $61.65 | |
| G0101 | Cervical or vaginal cancer screening; pelvic and clinical breast examination | <1% | 13 | 13 | $59.75 |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 81 | 81 | $45.00 |
| 82962 | <1% | 376 | 369 | $32.84 | |
| 99173 | <1% | 79 | 78 | $11.19 | |
| 3074F | <1% | 1,097 | 1,061 | $3.00 | |
| 3078F | <1% | 929 | 902 | $1.20 |
11 more codes
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 officialDE CARVALHO, CARLOS (OWNER)