Physician
Hernandez, Carlos
Hernandez, Carlos was paid $575K by Medicaid between Aug 2019 and Dec 2024, across 24 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 56% of everything it billed.
33Billing provider infoHERNANDEZ, CARLOS
PASADENA, TX 77504
PASADENA, TX 77504
33aNPI1326127507assigned 11/06/2006
33bProvider typeObstetrics & Gynecology Physician
28Total paid$575K
24GClaims20,119
24DCodes billed24
24AFirst – last monthAug 2019 – Dec 2024
Compared with peers
Next to other Obstetrics & Gynecology Physician providers in Texas
Rank by total paid#97 of 432
Median peer was paid$103K
This provider vs. median5.6×
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 | |
|---|---|---|---|
| 2019 | 55 | $189.84 | |
| 2020 | 3,686 | $86K | |
| 2021 | 5,978 | $192K | |
| 2022 | 5,223 | $155K | |
| 2023 | 3,164 | $90K | |
| 2024incomplete | 2,013 | $51K |
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 | 56% | 7,039 | 4,334 | $325K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 10% | 1,902 | 1,439 | $60K |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | 9.6% | 517 | 496 | $55K |
| 59430 | 3.8% | 270 | 255 | $22K | |
| 59409 | Vaginal delivery only (with or without episiotomy and/or forceps) | 3.7% | 47 | 38 | $21K |
| 81002 | 3.6% | 7,393 | 4,481 | $20K | |
| 99205 | Prolong outpt/office vis | 2.6% | 158 | 156 | $15K |
| 99000 | 2.3% | 1,336 | 1,052 | $13K | |
| 76815 | Ultrasound, pregnant uterus, real time with image documentation, limited | 1.8% | 177 | 165 | $10K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 1.3% | 113 | 70 | $7K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 1.2% | 97 | 94 | $7K |
| 76801 | 1.1% | 69 | 64 | $6K |
12 more codes
| 99441 | <1% | 172 | $3K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 28 | $2K |
| 98960 | <1% | 327 | $2K | |
| 36410 | <1% | 155 | $2K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 57 | $1K |
| 99354 | <1% | 21 | $594.20 | |
| 81025 | <1% | 95 | $551.80 | |
| 86703 | <1% | 40 | $350.51 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 18 | $251.28 |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 18 | $111.83 |
| 80055 | 0% | 12 | $0.00 | |
| 87389 | Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies | 0% | 58 | $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.