Medicaid Provider Spending

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

CARLOS. N. HORNEDO III, D.O. PA

NPI: 1164544805 · LAREDO, TX 78041 · Clinic/Center · NPI assigned 04/04/2007

$139K
Total Medicaid Paid
9,855
Total Claims
6,274
Beneficiaries
34
Codes Billed
2018-01
First Month
2023-12
Last Month

Provider Details

Authorized OfficialMARQUEZ, RAQUEL (OFFICE MANAGER)
NPI Enumeration Date04/04/2007

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,573 $10K
2019 2,031 $65K
2020 2,214 $26K
2021 2,456 $15K
2022 818 $8K
2023 763 $15K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99444 1,820 458 $62K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 2,581 2,196 $47K
99422 1,262 322 $15K
99421 788 266 $13K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 218 174 $968.66
99457 55 53 $325.62
99454 37 37 $286.40
96127 598 491 $281.22
99497 82 82 $256.12
93000 51 51 $205.50
99490 Ccm add 20min 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) 12 12 $55.16
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 12 12 $9.16
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 12 12 $8.44
1170F 178 178 $0.00
1101F 43 43 $0.00
1125F 137 137 $0.00
G0442 Annual alcohol misuse screening, 5 to 15 minutes 192 191 $0.00
1126F 152 151 $0.00
1036F 37 37 $0.00
1111F 173 169 $0.00
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 193 192 $0.00
G0447 Face-to-face behavioral counseling for obesity, 15 minutes 16 14 $0.00
G9459 Currently a tobacco non-user 24 24 $0.00
G8754 Most recent diastolic blood pressure < 90 mmhg 13 13 $0.00
3288F 135 130 $0.00
0521F 39 39 $0.00
G0444 Annual depression screening, 5 to 15 minutes 192 191 $0.00
0518F 177 177 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 191 191 $0.00
99423 267 63 $0.00
G0446 Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes 32 32 $0.00
G8752 Most recent systolic blood pressure < 140 mmhg 12 12 $0.00
G8598 Aspirin or another antiplatelet therapy used 13 13 $0.00