Hsu, Carl

Hsu, Carl was paid $1.05M by Medicaid between Jan 2018 and Dec 2024, across 63 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 32% of everything it billed.

33Billing provider infoHSU, CARL
RANCHO CORDOVA, CA 95670

33aNPI1306810122assigned 02/16/2006

33bProvider typePediatrics Physician

28Total paid$1.05M

24GClaims211,418

24DCodes billed63

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other Pediatrics Physician providers in California

Rank by total paid#122 of 1,490

Median peer was paid$15K

This provider vs. median70×

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	27,868	$222K
2019	34,643	$151K
2020	33,201	$144K
2021	33,871	$138K
2022	29,641	$155K
2023	30,646	$163K
2024incomplete	21,548	$79K

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	32%	46,426	39,019	$338K
99393	Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years)	13%	5,396	5,179	$138K
G9920	Screening performed and negative	12%	7,862	7,772	$127K
99394	Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years)	12%	4,406	4,170	$125K
99392	Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years)	9.7%	5,175	4,935	$102K
99391	Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year)	8.7%	4,375	3,732	$91K
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	3.7%	4,327	4,136	$39K
G0447	Face-to-face behavioral counseling for obesity, 15 minutes	1.0%	18,862	17,792	$11K
99211	Office or other outpatient visit for the evaluation and management of an established patient, minimal severity	<1%	2,717	2,569	$9K
92551		<1%	12,447	11,917	$7K
90619		<1%	488	488	$5K
96110	Developmental screening, with scoring and documentation, per standardized instrument	<1%	1,500	1,333	$5K

51 more codes

0071A		<1%	164	$5K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	<1%	1,097	$4K
85018		<1%	9,919	$4K
97803		<1%	12,356	$4K
90686		<1%	6,719	$3K
0072A		<1%	77	$3K
99383		<1%	207	$3K
99188		<1%	2,659	$2K
D1206	Topical application of fluoride varnish	<1%	1,439	$2K
99203	Doctor's office visit, new patient (routine)	<1%	446	$2K
86580		<1%	3,930	$2K
D0120	Dental checkup, returning patient	<1%	4,567	$2K
99173		<1%	12,442	$2K
99204	Doctor's office visit, new patient (more involved)	<1%	105	$2K
90698		<1%	3,073	$1K
99384		<1%	109	$1K
90670		<1%	2,727	$1K
81000		<1%	7,647	$1K
90707		<1%	2,197	$991.91
90633		<1%	2,132	$818.03
G8420	Bmi is documented within normal parameters and no follow-up plan is required	<1%	2,365	$769.48
90744		<1%	1,628	$761.12
90649		<1%	1,549	$756.43
97802		<1%	847	$688.95
99382		<1%	50	$640.55
0001A		<1%	16	$640.00
83655		<1%	595	$604.40
90680		<1%	1,583	$533.02
G8417	Bmi is documented above normal parameters and a follow-up plan is documented	<1%	1,951	$474.32
90685		<1%	926	$431.61
90716		<1%	2,346	$403.32
96127		<1%	708	$373.43
90651		<1%	608	$359.91
99381		<1%	87	$344.46
90715		<1%	1,156	$291.75
H0049	Alcohol and/or drug screening	<1%	3,801	$224.33
90734		<1%	1,228	$199.95
90696		<1%	714	$154.35
90621		<1%	408	$99.51
87811	Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19)	<1%	59	$82.76
99202	Office or other outpatient visit for the evaluation and management of a new patient, straightforward	<1%	31	$33.59
90713		<1%	12	$9.27
G0270	Medical nutrition therapy; reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition or treatment regimen (including additional hours needed for renal disease), individual, face to face with the patient, each 15 minutes	0%	110	$0.00
3078F		0%	120	$0.00
90460	Immunization administration through 18 years of age via any route, first or only component	0%	28	$0.00
G2211	Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established)	0%	45	$0.00
S0302	Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service)	0%	62	$0.00
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	0%	147	$0.00
3008F		0%	114	$0.00
3074F		0%	119	$0.00
87110		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.