E Duane Carmalt MD INC.

E Duane Carmalt MD INC. was paid $26K by Medicaid between Jan 2018 and Mar 2021, across 4 billing codes. Its largest line is 99232, hospital visit by a doctor, follow-up day — 68% of everything it billed.

33Billing provider infoE DUANE CARMALT MD INC.
TARZANA, CA 91356

33aNPI1457315210assigned 04/17/2006

33bProvider typeInfectious Disease Physician

28Total paid$26K

24GClaims727

24DCodes billed4

24AFirst – last monthJan 2018 – Mar 2021

Compared with peers

Next to other Infectious Disease Physician providers in California

Rank by total paid#136 of 222

Median peer was paid$61K

This provider vs. median0.4×

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	489	$12K
2019	88	$5K
2020	65	$3K
2021	85	$6K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99232	Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity	68%	617	118	$18K
99233	Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m	18%	73	14	$5K
99255		7.0%	25	25	$2K
99223	Prolong inpt eval add15 m	6.7%	12	12	$2K

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 officialCARMALT, E DUANE (MD)