Robles, Carlos

Robles, Carlos was paid $2K by Medicaid between Jan 2018 and Dec 2024, across 8 billing codes. Its largest line is 99212, Office or other outpatient visit for the evaluation and management of an established patient, straightforward — 47% of everything it billed.

33Billing provider infoROBLES, CARLOS
DORADO, PR 00646

33aNPI1568455582assigned 08/24/2005

33bProvider typeGeneral Practice Physician

28Total paid$2K

24GClaims9,146

24DCodes billed8

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other General Practice Physician providers in Puerto Rico

Rank by total paid#592 of 1,195

Median peer was paid$2K

This provider vs. median1.1×

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	1,171	$642.38
2019	952	$13.00
2020	783	$44.94
2021	1,470	$580.17
2022	1,405	$159.88
2023	1,814	$725.26
2024incomplete	1,551	$0.00

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	47%	6,019	4,652	$1K
90686		16%	18	18	$335.70
99211	Office or other outpatient visit for the evaluation and management of an established patient, minimal severity	15%	22	20	$315.00
G0008	Administration of influenza virus vaccine	13%	18	18	$286.20
G2012	Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion	8.6%	2,369	1,941	$187.09
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	1.5%	658	549	$33.48
3074F		0%	21	21	$0.00
3078F		0%	21	21	$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.