Cespedes, Carlos

Cespedes, Carlos was paid $55K by Medicaid between Jan 2018 and Mar 2020, across 4 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 58% of everything it billed.

33Billing provider infoCESPEDES, CARLOS
KEY WEST, FL 33040

33aNPI1326099474assigned 05/13/2006

33bProvider typeFamily Medicine Physician

28Total paid$55K

24GClaims1,257

24DCodes billed4

24AFirst – last monthJan 2018 – Mar 2020

Compared with peers

Next to other Family Medicine Physician providers in Florida

Rank by total paid#298 of 996

Median peer was paid$13K

This provider vs. median4.1×

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	419	$16K
2019	661	$30K
2020	177	$8K

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	58%	607	507	$32K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	29%	413	383	$16K
99215	Doctor's office visit, returning patient (complex)Prolong outpt/office vis	12%	192	159	$6K
90686		1.2%	45	44	$675.63

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.