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

Carlos Rosas M.D., P.A.

Carlos Rosas M.D., P.A. was paid $703K by Medicaid between Jan 2018 and Dec 2024, across 85 billing codes. Its largest line is 99444, — 28% of everything it billed.

33Billing provider infoCARLOS ROSAS M.D., P.A.
BROWNSVILLE, TX 78521
33aNPI1609113745assigned 01/09/2013
28Total paid$703K
24GClaims65,242
24DCodes billed85
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Family Medicine Physician providers in Texas

Rank by total paid#131 of 1,204
Median peer was paid$31K
This provider vs. median23×

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$10K$20K$30K2018201920202021202220232024
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
20189,520$93K
201910,655$163K
202011,504$216K
202111,854$92K
202210,716$61K
20236,834$46K
2024incomplete4,159$31K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99444 28% 3,553 886 $195K
99423 25% 3,176 991 $178K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 13% 5,363 4,521 $89K
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 11% 4,849 3,990 $78K
99442 5.1% 2,338 1,876 $36K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 4.4% 5,768 4,991 $31K
99422 3.8% 1,223 621 $27K
99000 1.5% 1,243 1,103 $11K
99421 1.4% 567 323 $10K
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc <1% 238 218 $7K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 954 739 $5K
99490 Ccm add 20min <1% 2,231 2,231 $4K
73 more codes
87637 Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV <1% 46 $4K
99443 <1% 262 $4K
0002A <1% 136 $3K
0001A <1% 119 $3K
CP003 <1% 229 $2K
85025 Blood count; complete (CBC), automated, and automated differential WBC count <1% 987 $2K
94760 <1% 6,044 $2K
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source <1% 229 $2K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 297 $1K
99497 <1% 210 $1K
99454 <1% 550 $1K
71046 Radiologic examination, chest; 2 views <1% 205 $814.21
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 81 $795.66
Q3014 Telehealth originating site facility fee <1% 323 $747.12
93922 <1% 48 $645.65
0013A <1% 243 $640.00
99457 <1% 466 $616.16
99458 <1% 367 $602.26
90674 <1% 30 $371.39
G0179 Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care <1% 181 $358.53
93000 <1% 182 $358.44
99051 <1% 70 $343.62
90662 <1% 248 $330.35
90682 <1% 43 $325.66
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe <1% 12 $307.98
99496 <1% 28 $294.63
99050 <1% 145 $179.28
0003A <1% 45 $160.00
81002 <1% 214 $128.79
99349 <1% 21 $127.30
90688 <1% 94 $99.36
0012A <1% 125 $98.48
99397 <1% 16 $85.65
J1885 Injection, ketorolac tromethamine, per 15 mg <1% 187 $75.45
99441 <1% 34 $71.22
0011A <1% 128 $51.84
99072 <1% 159 $37.50
0031A <1% 44 $28.39
89220 <1% 25 $25.21
G2058 Chronic care management services, each additional 20 minutes of clinical staff time directed by a physician or other qualified health care professional, per calendar month (list separately in addition to code for primary procedure). (do not report g2058 for care management services of less than 20 minutes additional to the first 20 minutes of chronic care management services during a calendar month). (use g2058 in conjunction with 99490). (do not report 99490, g2058 in the same calendar month as 99487, 99489, 99491)). <1% 13 $21.72
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 <1% 33 $14.31
99406 <1% 118 $14.19
91300 <1% 128 $0.12
1160F <1% 1,816 $0.01
3288F <1% 938 $0.01
1159F <1% 1,899 $0.01
1126F <1% 975 $0.01
1170F <1% 810 $0.01
3008F <1% 2,085 $0.01
G0444 Annual depression screening, 5 to 15 minutes 0% 1,654 $0.00
3078F 0% 1,078 $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% 94 $0.00
99001 0% 65 $0.00
77080 0% 27 $0.00
G0181 Physician or allowed practitioner supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and multidisciplinary care modalities involving regular physician or allowed practitioner development and/or revision of care plans 0% 14 $0.00
1124F 0% 13 $0.00
G8482 Influenza immunization administered or previously received 0% 39 $0.00
3044F 0% 55 $0.00
G0442 Annual alcohol misuse screening, 5 to 15 minutes 0% 1,543 $0.00
3074F 0% 1,136 $0.00
36415 Collection of venous blood by venipuncture 0% 3,438 $0.00
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 0% 1,078 $0.00
3075F 0% 164 $0.00
1000F 0% 209 $0.00
G0447 Face-to-face behavioral counseling for obesity, 15 minutes 0% 161 $0.00
1125F 0% 169 $0.00
G0008 Administration of influenza virus vaccine 0% 455 $0.00
3079F 0% 458 $0.00
99070 0% 66 $0.00
90694 0% 44 $0.00
G8410 Footwear evaluation performed and documented 0% 40 $0.00
1123F 0% 38 $0.00
J1100 Injection, dexamethasone sodium phosphate, 1 mg 0% 13 $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.

From NPPES

Who's on the registration

Authorized officialROSAS, ANDRE (DIRECTOR)