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

Navarro, Carlos

Navarro, Carlos was paid $110K by Medicaid between May 2020 and Nov 2024, across 14 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 56% of everything it billed.

33Billing provider infoNAVARRO, CARLOS
ALBANY, NY 12208
33aNPI1528373198assigned 08/08/2010
28Total paid$110K
24GClaims3,278
24DCodes billed14
24AFirst – last monthMay 2020 – Nov 2024
Compared with peers

Next to other Internal Medicine Physician providers in New York

Rank by total paid#1,211 of 6,049
Median peer was paid$11K
This provider vs. median9.8×

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$2.0K$4.0K$6.0K2018201920202021202220232024
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
2020284$6K
2021714$24K
2022450$18K
2023889$34K
2024incomplete941$29K
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 56% 1,238 1,234 $62K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 21% 730 716 $23K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 18% 901 898 $20K
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 2.7% 44 44 $3K
99215 Doctor's office visit, returning patient (complex)Prolong outpt/office vis <1% 13 13 $887.81
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 26 26 $806.64
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity <1% 14 14 $525.56
99254 <1% 13 13 $369.67
3078F 0% 92 91 $0.00
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) 0% 16 16 $0.00
3077F 0% 28 28 $0.00
3079F 0% 44 44 $0.00
2 more codes
3074F 0% 90 $0.00
3075F 0% 29 $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.