Carlos I Flores, MD PC

Carlos I Flores, MD PC was paid $87K by Medicaid between Nov 2020 and Apr 2024, across 31 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 64% of everything it billed.

33Billing provider infoCARLOS I FLORES, MD PC
NEW CASTLE, PA 16105

33aNPI1205918372assigned 10/19/2006

33bProvider typePediatric Adolescent Medicine Physician

28Total paid$87K

24GClaims6,319

24DCodes billed31

24AFirst – last monthNov 2020 – Apr 2024

Compared with peers

Next to other Pediatric Adolescent Medicine Physician providers in Pennsylvania

Rank by total paid#20 of 44

Median peer was paid$39K

This provider vs. median2.2×

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
2020	203	$2K
2021	1,982	$29K
2022	2,304	$33K
2023	1,564	$19K
2024incomplete	266	$4K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	64%	1,519	1,390	$56K
99393	Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years)	12%	115	115	$11K
99392	Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years)	6.1%	55	55	$5K
99231	Subsequent hospital care, per day, straightforward or low complexity	3.9%	148	39	$3K
99394	Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years)	3.9%	35	35	$3K
87880	Infectious agent antigen detection by immunoassay; Streptococcus, group A	2.5%	233	227	$2K
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	2.3%	38	38	$2K
92552		1.7%	406	405	$1K
99173		<1%	228	227	$603.30
99188		<1%	29	29	$522.00
99222	Initial hospital care, per day, moderate complexity	<1%	13	13	$415.95
A4245	Alcohol wipes, per box	<1%	310	304	$236.00

19 more codes

99238	Hospital discharge day management, 30 minutes or less	<1%	13	$205.70
G0008	Administration of influenza virus vaccine	<1%	27	$176.00
A4209	Syringe with needle, sterile 5 cc or greater, each	<1%	337	$160.64
90648		<1%	12	$132.00
92551		<1%	63	$114.40
96110	Developmental screening, with scoring and documentation, per standardized instrument	<1%	24	$92.28
93010	Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only	<1%	12	$90.75
96127		<1%	81	$88.00
96160		<1%	64	$42.13
3074F		0%	1,184	$0.00
3079F		0%	45	$0.00
G8510	Screening for depression is documented as negative, a follow-up plan is not required	0%	39	$0.00
99174		0%	32	$0.00
85018		0%	12	$0.00
86701		0%	13	$0.00
3078F		0%	1,015	$0.00
83655		0%	174	$0.00
80061	Lipid panel	0%	31	$0.00
A6413	Adhesive bandage, first-aid type, any size, each	0%	12	$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 officialFLORES, CARLOS (PHYSICIAN)

Same official

Other billing entities under FLORES, CARLOS

Full network →

Provider	Location	Paid
Adelante Behavioral Health ABA LLC	Bakersfield, CA	$3.16M
Carlos E. Flores and Associates P.C.	San Antonio, TX	$43K
Adelante Health Transportation Systems LLC	Bakersfield, CA	$14K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.