Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › CA › Shafter › NPI 1437427341
Physician

Carlos A. Alvarez, MD, INC

Carlos A. Alvarez, MD, INC was paid $2.52M by Medicaid between Jan 2018 and Dec 2024, across 47 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 88% of everything it billed.

33Billing provider infoCARLOS A. ALVAREZ, MD, INC
SHAFTER, CA 93263
33aNPI1437427341assigned 12/06/2011
28Total paid$2.52M
24GClaims163,682
24DCodes billed47
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Internal Medicine Physician providers in California

Rank by total paid#55 of 2,679
Median peer was paid$13K
This provider vs. median200×

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$50K$100K$150K2018201920202021202220232024
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
201826,979$192K
201926,211$185K
202012,389$212K
202112,165$243K
202211,880$280K
202331,074$339K
2024incomplete42,984$1.07M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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 88% 45,323 36,123 $2.21M
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 3.4% 9,291 6,612 $85K
99204 Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 2.1% 825 823 $54K
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg <1% 3,795 3,595 $24K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity <1% 578 564 $20K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years <1% 146 146 $20K
93000 <1% 485 478 $16K
J1885 Injection, ketorolac tromethamine, per 15 mg <1% 4,624 4,242 $14K
82962 <1% 5,664 4,690 $11K
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg <1% 3,355 2,973 $10K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years <1% 69 69 $9K
J0696 Injection, ceftriaxone sodium, per 250 mg <1% 1,794 1,616 $8K
35 more codes
92552 <1% 193 $6K
82948 <1% 3,062 $6K
99386 <1% 25 $4K
J1100 Injection, dexamethasone sodium phosphate, 1 mg <1% 1,307 $4K
1160F <1% 6,560 $3K
82947 <1% 1,075 $2K
3008F <1% 21,050 $2K
1159F <1% 6,466 $2K
81002 <1% 1,323 $2K
3078F <1% 12,462 $2K
99385 <1% 12 $2K
99173 <1% 327 $2K
3074F <1% 12,354 $1K
3077F <1% 3,003 $1K
1170F <1% 3,431 $846.46
V5008 Hearing screening <1% 26 $587.34
3075F <1% 2,659 $571.18
3079F <1% 3,813 $432.42
J2550 Injection, promethazine hcl, up to 50 mg <1% 52 $317.37
3044F <1% 541 $113.13
2001F <1% 2,574 $108.55
99308 Subsequent nursing facility care, per day, straightforward <1% 21 $49.50
1111F <1% 52 $29.60
3046F <1% 61 $14.07
3080F 0% 1,566 $0.00
2010F 0% 2,721 $0.00
3049F 0% 16 $0.00
99457 0% 166 $0.00
99454 0% 166 $0.00
99458 0% 123 $0.00
1125F 0% 195 $0.00
1126F 0% 187 $0.00
3011F 0% 12 $0.00
3052F 0% 42 $0.00
3051F 0% 90 $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.

From NPPES

Who's on the registration

Authorized officialALVAREZ, CARLOS (PRESIDENT/OWNER)
Same official

Other billing entities under ALVAREZ, CARLOS

Full network →
ProviderLocationPaid
Carlos A. Alvarez, M.D., INCLamont, CA$92K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.