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

Torres, Carlos

Torres, Carlos was paid $913K by Medicaid between Jan 2019 and Nov 2024, across 21 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 53% of everything it billed.

33Billing provider infoTORRES, CARLOS
ROCKLEDGE, FL 32955
33aNPI1437250883assigned 09/26/2006
28Total paid$913K
24GClaims24,276
24DCodes billed21
24AFirst – last monthJan 2019 – Nov 2024
Compared with peers

Next to other Pediatric Adolescent Medicine Physician providers in Florida

Rank by total paid#14 of 56
Median peer was paid$221K
This provider vs. median4.1×

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$20K$40K2018201920202021202220232024
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
20194,897$147K
20204,071$118K
20214,056$116K
20224,929$209K
20234,393$232K
2024incomplete1,930$92K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 53% 9,864 8,141 $484K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 10% 1,067 1,051 $94K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 9.7% 933 925 $88K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 7.3% 723 710 $67K
90460 Immunization administration through 18 years of age via any route, first or only component 5.9% 4,835 4,167 $54K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 5.6% 580 558 $51K
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 5.1% 727 711 $47K
90461 2.7% 1,671 1,399 $25K
90677 <1% 51 43 $1K
90670 <1% 438 386 $759.08
90686 <1% 2,554 2,478 $589.08
87804 Infectious agent antigen detection by immunoassay; Influenza, each type <1% 334 202 $317.76
9 more codes
90656 <1% 32 $150.00
90734 <1% 57 $15.00
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 0% 82 $0.00
90685 0% 16 $0.00
99051 0% 16 $0.00
90633 0% 46 $0.00
90648 0% 14 $0.00
90651 0% 211 $0.00
90697 0% 25 $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.