Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Hernandez Moreno, Carlos

Hernandez Moreno, Carlos was paid $3K by Medicaid between Jan 2018 and Aug 2019, across 6 billing codes. Its largest line is 99243, — 46% of everything it billed.

33Billing provider infoHERNANDEZ MORENO, CARLOS
ARAPAHOE, WY 82510
33aNPI1386655058assigned 08/10/2006
33bProvider typePediatrics Physician
28Total paid$3K
24GClaims2,011
24DCodes billed6
24AFirst – last monthJan 2018 – Aug 2019
Compared with peers

Next to other Pediatrics Physician providers in Wyoming

Rank by total paid#25 of 27
Median peer was paid$113K
This provider vs. median0.0×

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

$0$250$500$7502018201920202021202220232024
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
YearClaimsPaid
20181,077$120.48
2019934$3K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99243 46% 155 153 $1K
99232 Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity 36% 85 84 $1K
99222 Initial hospital care, per day, moderate complexity 7.9% 54 54 $255.50
99238 Hospital discharge day management, 30 minutes or less 5.7% 55 55 $186.30
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 3.1% 1,623 1,269 $101.44
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity <1% 39 38 $25.00

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.