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

Flores, Carlos

Flores, Carlos was paid $287K by Medicaid between Jan 2018 and Dec 2024, across 18 billing codes. Its largest line is 59409, Vaginal delivery only (with or without episiotomy and/or forceps) — 40% of everything it billed.

33Billing provider infoFLORES, CARLOS
BURBANK, CA 91501
33aNPI1619271947assigned 12/30/2010
28Total paid$287K
24GClaims7,475
24DCodes billed18
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Obstetrics & Gynecology Physician providers in California

Rank by total paid#230 of 791
Median peer was paid$67K
This provider vs. median4.3×

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$5.0K$10K$15K2018201920202021202220232024
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
2018415$20K
2019142$9K
2020814$61K
2021881$32K
20221,331$41K
20231,824$55K
2024incomplete2,068$70K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
59409 Vaginal delivery only (with or without episiotomy and/or forceps) 40% 401 399 $114K
H1001 Prenatal care, at-risk enhanced service; antepartum management 22% 3,191 2,031 $64K
Z1034 12% 632 389 $35K
99232 Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity 9.2% 1,364 835 $27K
59514 5.3% 57 55 $15K
99243 2.1% 292 285 $6K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 2.0% 153 145 $6K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1.8% 401 377 $5K
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 1.7% 196 196 $5K
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 1.6% 443 432 $5K
59430 1.2% 179 179 $3K
99223 Prolong inpt eval add15 m <1% 56 55 $2K
6 more codes
99205 Prolong outpt/office vis <1% 13 $661.60
99238 Hospital discharge day management, 30 minutes or less <1% 12 $74.82
99000 <1% 12 $21.78
59425 0% 41 $0.00
99203 Doctor's office visit, new patient (routine) 0% 20 $0.00
36415 Collection of venous blood by venipuncture 0% 12 $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.