Pena, Carlos
Pena, Carlos was paid $1.24M by Medicaid between Jan 2018 and Dec 2024, across 22 billing codes. Its largest line is H1000, Prenatal care, at-risk assessment — 43% of everything it billed.
33Billing provider infoPENA, CARLOS
SOUTH MIAMI, FL 33143
SOUTH MIAMI, FL 33143
33aNPI1447350194assigned 09/23/2006
33bProvider typeSpecialist
28Total paid$1.24M
24GClaims20,358
24DCodes billed22
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Specialist providers in Florida
Rank by total paid#50 of 553
Median peer was paid$31K
This provider vs. median40×
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 | 284 | $16K | |
| 2019 | 2,726 | $196K | |
| 2020 | 2,357 | $190K | |
| 2021 | 3,630 | $209K | |
| 2022 | 4,474 | $246K | |
| 2023 | 4,437 | $239K | |
| 2024incomplete | 2,450 | $144K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| H1000 | Prenatal care, at-risk assessment | 43% | 9,029 | 4,455 | $534K |
| 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 | 12% | 2,835 | 2,291 | $153K |
| 76817 | Ultrasound, pregnant uterus, real time with image documentation, transvaginal | 11% | 2,042 | 1,633 | $133K |
| 76830 | Ultrasound, transvaginal | 9.0% | 849 | 806 | $112K |
| 76819 | Fetal biophysical profile; without non-stress testing | 8.5% | 1,312 | 1,081 | $105K |
| 59515 | 6.4% | 68 | 68 | $79K | |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | 4.5% | 2,226 | 2,040 | $56K |
| 59430 | 2.5% | 592 | 494 | $31K | |
| 76856 | Ultrasound, pelvic (nonobstetric), real time with image documentation; complete | <1% | 836 | 808 | $12K |
| H1001 | Prenatal care, at-risk enhanced service; antepartum management | <1% | 117 | 112 | $11K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 54 | 50 | $4K |
| 99195 | <1% | 116 | 107 | $3K |
10 more codes
| 76801 | <1% | 28 | $3K | |
| 76811 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed | <1% | 12 | $2K |
| 76641 | <1% | 65 | $1K | |
| 99213 | Doctor's office visit, returning patient (routine) | <1% | 30 | $856.86 |
| 76818 | <1% | 63 | $179.05 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 13 | $89.35 |
| 1159F | 0% | 24 | $0.00 | |
| 3078F | 0% | 19 | $0.00 | |
| 96103 | 0% | 16 | $0.00 | |
| 58740 | 0% | 12 | $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.