Flores, Carlos
Flores, Carlos was paid $441K by Medicaid between Jan 2018 and Dec 2024, across 18 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 41% of everything it billed.
33Billing provider infoFLORES, CARLOS
PANORAMA CITY, CA 91402
PANORAMA CITY, CA 91402
33aNPI1407880040assigned 07/10/2006
33bProvider typeSpecialist
28Total paid$441K
24GClaims7,860
24DCodes billed18
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Specialist providers in California
Rank by total paid#298 of 1,230
Median peer was paid$51K
This provider vs. median8.6×
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 | 2,321 | $92K | |
| 2019 | 1,152 | $57K | |
| 2020 | 500 | $32K | |
| 2021 | 1,089 | $68K | |
| 2022 | 522 | $30K | |
| 2023 | 1,155 | $80K | |
| 2024incomplete | 1,121 | $83K |
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 | 41% | 942 | 852 | $180K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 35% | 1,231 | 1,084 | $155K |
| Z1034 | 13% | 1,072 | 708 | $59K | |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 2.0% | 28 | 28 | $9K |
| H1001 | Prenatal care, at-risk enhanced service; antepartum management | 2.0% | 249 | 150 | $9K |
| 81025 | 1.8% | 2,647 | 2,474 | $8K | |
| 99402 | <1% | 131 | 128 | $4K | |
| Z6410 | <1% | 384 | 263 | $4K | |
| Z6400 | <1% | 237 | 200 | $3K | |
| J3490 | Unclassified drugs | <1% | 37 | 25 | $3K |
| Z1032 | <1% | 15 | 15 | $2K | |
| Z6406 | <1% | 243 | 205 | $2K |
6 more codes
| 99000 | <1% | 450 | $2K | |
| Z6204 | <1% | 125 | $1K | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 12 | $565.30 |
| H1003 | Prenatal care, at-risk enhanced service; education | 0% | 30 | $0.00 |
| 97803 | 0% | 12 | $0.00 | |
| S9445 | Patient education, not otherwise classified, non-physician provider, individual, per session | 0% | 15 | $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.