Rojas Carvajal, Carlos

Rojas Carvajal, Carlos was paid $602K by Medicaid between Jun 2019 and Sep 2024, across 17 billing codes. Its largest line is 99235, — 27% of everything it billed.

33Billing provider infoROJAS CARVAJAL, CARLOS
SAN JUAN, PR 00921

33aNPI1427445261assigned 04/20/2015

33bProvider typeGeneral Practice Physician

28Total paid$602K

24GClaims10,156

24DCodes billed17

24AFirst – last monthJun 2019 – Sep 2024

Compared with peers

Next to other General Practice Physician providers in Puerto Rico

Rank by total paid#33 of 1,195

Median peer was paid$2K

This provider vs. median295×

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	197	$3K
2020	266	$5K
2021	1,601	$106K
2022	2,807	$170K
2023	2,976	$182K
2024incomplete	2,309	$137K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99235		27%	1,388	1,154	$160K
99284	Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity	26%	1,943	1,712	$155K
99234		24%	1,619	1,248	$145K
96374	Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance	6.4%	726	617	$39K
99283	Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity	5.6%	610	400	$34K
99236	Prolong inpt eval add15 m	3.1%	149	134	$19K
96360	Intravenous infusion, hydration; initial, 31 minutes to 1 hour	2.1%	713	543	$13K
93010	Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only	1.9%	1,397	1,137	$11K
76140		1.3%	448	379	$8K
99281	Emergency department visit for the evaluation and management, self-limited or minor	<1%	392	368	$6K
96372	Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular	<1%	540	471	$5K
99222	Initial hospital care, per day, moderate complexity	<1%	43	31	$3K

5 more codes

99232	Hospital visit by a doctor, follow-up day	<1%	86	$3K
93268		<1%	14	$1K
94664		<1%	39	$349.96
99221		<1%	25	$343.16
82805		<1%	24	$118.16

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.