Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

FLORES, CARLOS

NPI: 1396725594 · NEW CASTLE, PA 16105 · Pediatric Adolescent Medicine Physician · NPI assigned 01/23/2006

$179K
Total Medicaid Paid
9,311
Total Claims
7,839
Beneficiaries
28
Codes Billed
2018-03
First Month
2024-04
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 14 $451.20
2020 119 $2K
2021 2,918 $67K
2022 3,794 $75K
2023 2,188 $30K
2024 278 $4K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,907 1,750 $62K
99231 Subsequent hospital care, per day, straightforward or low complexity 1,461 337 $37K
99222 Initial hospital care, per day, moderate complexity 267 263 $23K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 580 573 $16K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 116 116 $11K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 71 71 $7K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 73 73 $7K
99238 Hospital discharge day management, 30 minutes or less 237 232 $5K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 42 41 $2K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 239 234 $2K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 254 251 $2K
G0008 Administration of influenza virus vaccine 112 112 $1K
99188 57 57 $1K
99221 33 32 $1K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 12 12 $927.50
90656 76 76 $784.50
90670 24 24 $241.00
92552 275 274 $224.63
99173 329 329 $134.40
90648 12 12 $132.00
96160 205 204 $67.89
96127 117 117 $37.30
96161 12 12 $14.97
3079F 89 83 $0.00
3074F 1,441 1,350 $0.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 39 39 $0.00
96110 Developmental screening, with scoring and documentation, per standardized instrument 14 14 $0.00
3078F 1,217 1,151 $0.00