Clinic
Carlos. N. Hornedo III, D.O. PA
Carlos. N. Hornedo III, D.O. PA was paid $139K by Medicaid between Jan 2018 and Dec 2023, across 34 billing codes. Its largest line is 99444, — 45% of everything it billed.
33Billing provider infoCARLOS. N. HORNEDO III, D.O. PA
LAREDO, TX 78041
LAREDO, TX 78041
33aNPI1164544805assigned 04/04/2007
33bProvider typeClinic/Center
28Total paid$139K
24GClaims9,855
24DCodes billed34
24AFirst – last monthJan 2018 – Dec 2023
Compared with peers
Next to other Clinic/Center providers in Texas
Rank by total paid#67 of 176
Median peer was paid$26K
This provider vs. median5.3×
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 | |
|---|---|---|---|
| 2018 | 1,573 | $10K | |
| 2019 | 2,031 | $65K | |
| 2020 | 2,214 | $26K | |
| 2021 | 2,456 | $15K | |
| 2022 | 818 | $8K | |
| 2023 | 763 | $15K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99444 | 45% | 1,820 | 458 | $62K | |
| 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 | 34% | 2,581 | 2,196 | $47K |
| 99422 | 11% | 1,262 | 322 | $15K | |
| 99421 | 9.1% | 788 | 266 | $13K | |
| 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% | 218 | 174 | $968.66 |
| 99457 | <1% | 55 | 53 | $325.62 | |
| 99454 | <1% | 37 | 37 | $286.40 | |
| 96127 | <1% | 598 | 491 | $281.22 | |
| 99497 | <1% | 82 | 82 | $256.12 | |
| 93000 | <1% | 51 | 51 | $205.50 | |
| 99490 | Ccm add 20min | <1% | 111 | 111 | $203.55 |
| G0506 | Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service) | <1% | 12 | 12 | $55.16 |
22 more codes
| 93005 | Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report | <1% | 12 | $9.16 |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 12 | $8.44 |
| 1170F | 0% | 178 | $0.00 | |
| 1101F | 0% | 43 | $0.00 | |
| 1125F | 0% | 137 | $0.00 | |
| G0442 | Annual alcohol misuse screening, 5 to 15 minutes | 0% | 192 | $0.00 |
| 1126F | 0% | 152 | $0.00 | |
| 1036F | 0% | 37 | $0.00 | |
| 1111F | 0% | 173 | $0.00 | |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 0% | 193 | $0.00 |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | 0% | 16 | $0.00 |
| G9459 | Currently a tobacco non-user | 0% | 24 | $0.00 |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 13 | $0.00 |
| 3288F | 0% | 135 | $0.00 | |
| 0521F | 0% | 39 | $0.00 | |
| G0444 | Annual depression screening, 5 to 15 minutes | 0% | 192 | $0.00 |
| 0518F | 0% | 177 | $0.00 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 191 | $0.00 |
| 99423 | 0% | 267 | $0.00 | |
| G0446 | Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes | 0% | 32 | $0.00 |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 0% | 12 | $0.00 |
| G8598 | Aspirin or another antiplatelet therapy used | 0% | 13 | $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.
From NPPES
Who's on the registration
Authorized officialMARQUEZ, RAQUEL (OFFICE MANAGER)