Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

CARLOS T DE CARVALHO M D INC

NPI: 1144231028 · CHULA VISTA, CA 91910 · Internal Medicine Physician · NPI assigned 08/10/2006

$68K
Total Medicaid Paid
12,805
Total Claims
10,760
Beneficiaries
23
Codes Billed
2018-01
First Month
2024-10
Last Month

Provider Details

Authorized OfficialDE CARVALHO, CARLOS (OWNER)
NPI Enumeration Date08/10/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 3,278 $22K
2019 2,243 $20K
2020 1,345 $12K
2021 949 $6K
2022 2,335 $3K
2023 1,623 $5K
2024 1,032 $910.33

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99309 Subsequent nursing facility care, per day, low to moderate complexity 2,417 695 $38K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 4,837 4,638 $24K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 165 164 $4K
99443 227 210 $2K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 230 218 $272.88
96156 476 476 $61.65
G0101 Cervical or vaginal cancer screening; pelvic and clinical breast examination 13 13 $59.75
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 81 81 $45.00
82962 376 369 $32.84
99173 79 78 $11.19
3074F 1,097 1,061 $3.00
3078F 929 902 $1.20
1160F 976 966 $0.00
3077F 181 174 $0.00
3725F 41 41 $0.00
1003F 85 85 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 18 18 $0.00
1159F 15 15 $0.00
3080F 102 101 $0.00
3079F 309 304 $0.00
1170F 58 58 $0.00
3075F 80 80 $0.00
99386 13 13 $0.00