Carc Enterprises Incorporated

Carc Enterprises Incorporated was paid $429K by Medicaid between Jan 2018 and Feb 2019, across 20 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 55% of everything it billed.

33Billing provider infoCARC ENTERPRISES INCORPORATED
COLORADO SPRINGS, CO 80910

33aNPI1538574041assigned 06/23/2014

33bProvider typeFamily Medicine Physician

28Total paid$429K

24GClaims8,200

24DCodes billed20

24AFirst – last monthJan 2018 – Feb 2019

Compared with peers

Next to other Family Medicine Physician providers in Colorado

Rank by total paid#89 of 532

Median peer was paid$35K

This provider vs. median12×

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	7,567	$390K
2019	633	$40K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	55%	4,231	3,736	$236K
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	27%	1,379	1,223	$117K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	9.3%	459	436	$40K
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	3.9%	136	124	$17K
G8431	Screening for depression is documented as being positive and a follow-up plan is documented	1.2%	187	184	$5K
G8510	Screening for depression is documented as negative, a follow-up plan is not required	<1%	302	278	$3K
96127		<1%	559	531	$2K
90686		<1%	156	153	$2K
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	<1%	73	72	$1K
90833	Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on)	<1%	45	38	$1K
90460	Immunization administration through 18 years of age via any route, first or only component	<1%	67	66	$1K
83036	Hemoglobin; glycosylated (A1C)	<1%	119	115	$1K

8 more codes

99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	<1%	29	$1K
99401		<1%	14	$426.40
99000		<1%	123	$359.91
36415	Collection of venous blood by venipuncture	<1%	115	$338.12
81003		<1%	56	$139.59
81002		<1%	51	$137.78
36416		<1%	37	$113.76
96160		<1%	62	$4.12

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 officialOSTOS ARCARESE, CORINA (OWNER)