Carstens, Herman

Carstens, Herman was paid $643K by Medicaid between Jan 2018 and Apr 2020, across 20 billing codes. Its largest line is 59425, — 37% of everything it billed.

33Billing provider infoCARSTENS, HERMAN
BLOOMINGTON, CA 92316

33aNPI1386611242assigned 02/28/2006

33bProvider typeObstetrics & Gynecology Physician

28Total paid$643K

24GClaims17,479

24DCodes billed20

24AFirst – last monthJan 2018 – Apr 2020

Compared with peers

Next to other Obstetrics & Gynecology Physician providers in California

Rank by total paid#160 of 791

Median peer was paid$67K

This provider vs. median9.6×

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
2018	8,968	$354K
2019	7,106	$246K
2020	1,405	$43K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
59425		37%	4,280	2,130	$236K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	23%	5,354	4,333	$148K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	11%	1,249	1,226	$69K
Z1034		11%	1,252	678	$69K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	6.4%	918	826	$41K
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	2.9%	591	573	$19K
59409	Vaginal delivery only (with or without episiotomy and/or forceps)	2.7%	34	25	$17K
99215	Doctor's office visit, returning patient (complex)Prolong outpt/office vis	1.5%	77	77	$10K
88141		1.4%	175	93	$9K
99000		1.2%	2,580	2,506	$8K
H1001	Prenatal care, at-risk enhanced service; antepartum management	<1%	72	40	$4K
59430		<1%	51	50	$3K

8 more codes

Z6400		<1%	53	$2K
Z6500		<1%	15	$2K
81025		<1%	702	$2K
H2000	Comprehensive multidisciplinary evaluation	<1%	12	$2K
99204	Doctor's office visit, new patient (more involved)	<1%	18	$1K
87491	Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe	<1%	15	$1K
H1003	Prenatal care, at-risk enhanced service; education	<1%	17	$557.80
Z6410		<1%	14	$401.19

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.