Physician
Fuster, Carlos
Fuster, Carlos was paid $2.05M by Medicaid between Dec 2018 and Dec 2024, across 31 billing codes. Its largest line is 99392, Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) — 24% of everything it billed.
33Billing provider infoFUSTER, CARLOS
MIAMI, FL 33175
MIAMI, FL 33175
33aNPI1639128234assigned 05/09/2006
33bProvider typePediatrics Physician
28Total paid$2.05M
24GClaims54,877
24DCodes billed31
24AFirst – last monthDec 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Florida
Rank by total paid#164 of 971
Median peer was paid$238K
This provider vs. median8.6×
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 | 1,039 | $19K | |
| 2019 | 8,016 | $266K | |
| 2020 | 8,260 | $280K | |
| 2021 | 9,651 | $360K | |
| 2022 | 8,905 | $369K | |
| 2023 | 10,018 | $437K | |
| 2024incomplete | 8,988 | $322K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 24% | 5,404 | 5,335 | $485K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 20% | 13,030 | 11,927 | $411K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 17% | 3,995 | 3,899 | $341K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 14% | 4,067 | 3,588 | $290K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 9.7% | 2,435 | 2,407 | $199K |
| 90671 | 3.4% | 796 | 787 | $70K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 3.0% | 1,326 | 1,288 | $62K |
| 99381 | 2.1% | 528 | 518 | $42K | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 1.9% | 12,512 | 8,584 | $40K |
| 90697 | 1.9% | 556 | 549 | $39K | |
| 90670 | 1.7% | 1,256 | 1,201 | $35K | |
| 90619 | <1% | 249 | 249 | $14K |
19 more codes
| 90680 | <1% | 1,270 | $10K | |
| 90696 | <1% | 39 | $3K | |
| 90461 | <1% | 917 | $3K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 40 | $3K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 240 | $2K |
| 99383 | <1% | 12 | $1K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 288 | $653.40 |
| 90651 | <1% | 107 | $605.37 | |
| 90686 | <1% | 58 | $405.56 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 54 | $357.30 |
| 90633 | <1% | 562 | $353.32 | |
| A4208 | Syringe with needle, sterile 3 cc, each | <1% | 3,392 | $175.39 |
| 90723 | <1% | 478 | $150.03 | |
| 90734 | <1% | 141 | $108.60 | |
| 90698 | <1% | 288 | $58.97 | |
| 90716 | <1% | 66 | $24.01 | |
| 90715 | <1% | 49 | $10.29 | |
| 90710 | <1% | 246 | $10.00 | |
| 90648 | 0% | 476 | $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.