Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Carlos E. Flores and Associates P.C.

Carlos E. Flores and Associates P.C. was paid $43K by Medicaid between Nov 2020 and Sep 2024, across 5 billing codes. Its largest line is V2020, Frames, purchases — 36% of everything it billed.

33Billing provider infoCARLOS E. FLORES AND ASSOCIATES P.C.
SAN ANTONIO, TX 78238
33aNPI1649497496assigned 04/20/2007
33bProvider typeOptometrist
28Total paid$43K
24GClaims1,670
24DCodes billed5
24AFirst – last monthNov 2020 – Sep 2024
Compared with peers

Next to other Optometrist providers in Texas

Rank by total paid#610 of 1,408
Median peer was paid$30K
This provider vs. median1.4×

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$2.0K$4.0K$6.0K2018201920202021202220232024
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
202049$907.81
2021693$18K
2022650$16K
2023222$6K
2024incomplete56$2K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
V2020 Frames, purchases 36% 782 767 $16K
S0621 Routine ophthalmological examination including refraction; established patient 27% 262 258 $12K
V2103 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens 20% 450 446 $9K
S0620 Routine ophthalmological examination including refraction; new patient 16% 161 160 $7K
V2104 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens <1% 15 15 $268.37

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 officialFLORES, CARLOS (DIRECTOR)
Same official

Other billing entities under FLORES, CARLOS

Full network →
ProviderLocationPaid
Adelante Behavioral Health ABA LLCBakersfield, CA$3.16M
Carlos I Flores, MD PCNew Castle, PA$87K
Adelante Health Transportation Systems LLCBakersfield, CA$14K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.