Physician
Hidalgo, Carlos
Hidalgo, Carlos was paid $1.50M by Medicaid between Jan 2019 and Nov 2024, across 46 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 32% of everything it billed.
33Billing provider infoHIDALGO, CARLOS
TARPON SPRINGS, FL 34689
TARPON SPRINGS, FL 34689
33aNPI1154407393assigned 10/31/2006
33bProvider typePediatrics Physician
28Total paid$1.50M
24GClaims48,346
24DCodes billed46
24AFirst – last monthJan 2019 – Nov 2024
Compared with peers
Next to other Pediatrics Physician providers in Florida
Rank by total paid#207 of 971
Median peer was paid$238K
This provider vs. median6.3×
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 | |
|---|---|---|---|
| 2019 | 8,061 | $197K | |
| 2020 | 7,203 | $208K | |
| 2021 | 7,801 | $271K | |
| 2022 | 9,114 | $287K | |
| 2023 | 10,531 | $328K | |
| 2024incomplete | 5,636 | $207K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 32% | 6,745 | 6,061 | $472K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 14% | 2,653 | 2,435 | $208K |
| 99401 | 11% | 2,683 | 2,545 | $171K | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 10% | 1,528 | 1,491 | $156K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 9.1% | 1,587 | 1,490 | $136K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 8.3% | 1,257 | 1,229 | $124K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 6.4% | 1,157 | 1,012 | $97K |
| 92552 | 2.5% | 3,847 | 3,660 | $38K | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 2.1% | 4,973 | 3,756 | $32K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 664 | 594 | $14K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 2,228 | 1,854 | $9K |
| 99188 | <1% | 1,147 | 1,083 | $8K |
34 more codes
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 51 | $7K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 1,786 | $7K |
| 90461 | <1% | 1,248 | $7K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 1,532 | $6K |
| 99490 | Ccm add 20min | <1% | 92 | $4K |
| 99173 | <1% | 3,839 | $1K | |
| 96161 | <1% | 1,145 | $800.14 | |
| 87807 | <1% | 93 | $651.75 | |
| 99072 | <1% | 579 | $372.51 | |
| 86580 | <1% | 42 | $201.98 | |
| 90710 | <1% | 79 | $200.00 | |
| 90686 | <1% | 942 | $161.86 | |
| 90633 | <1% | 599 | $50.00 | |
| 96160 | <1% | 1,758 | $20.95 | |
| 90671 | 0% | 113 | $0.00 | |
| 90700 | 0% | 12 | $0.00 | |
| 90670 | 0% | 298 | $0.00 | |
| 90648 | 0% | 53 | $0.00 | |
| 90734 | 0% | 128 | $0.00 | |
| 90715 | 0% | 93 | $0.00 | |
| G0312 | Immunization counseling by a physician or other qualified health care professional when the vaccine(s) is not administered on the same date of service for ages under 21, 5 to 15 mins time (this code is used for medicaid billing purposes) | 0% | 188 | $0.00 |
| 92551 | 0% | 12 | $0.00 | |
| 96127 | 0% | 1,795 | $0.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 225 | $0.00 |
| 90651 | 0% | 313 | $0.00 | |
| 3008F | 0% | 545 | $0.00 | |
| 97802 | 0% | 69 | $0.00 | |
| 90697 | 0% | 29 | $0.00 | |
| 90619 | 0% | 55 | $0.00 | |
| 90688 | 0% | 106 | $0.00 | |
| 90674 | 0% | 14 | $0.00 | |
| 90680 | 0% | 12 | $0.00 | |
| 36416 | 0% | 12 | $0.00 | |
| 90656 | 0% | 20 | $0.00 |
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.