Flores, Carlos

Flores, Carlos was paid $98K by Medicaid between Feb 2018 and Jul 2024, across 3 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 58% of everything it billed.

33Billing provider infoFLORES, CARLOS
SPRINGFIELD, MA 01107

33aNPI1699881912assigned 08/21/2006

33bProvider typeInfectious Disease Physician

28Total paid$98K

24GClaims1,907

24DCodes billed3

24AFirst – last monthFeb 2018 – Jul 2024

Compared with peers

Next to other Infectious Disease Physician providers in Massachusetts

Rank by total paid#7 of 38

Median peer was paid$7K

This provider vs. median14×

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	520	$28K
2019	465	$25K
2020	230	$13K
2021	232	$12K
2022	291	$16K
2023	143	$5K
2024incomplete	26	$0.00

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
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	58%	964	929	$56K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	38%	917	909	$37K
99223	Prolong inpt eval add15 m	4.1%	26	26	$4K

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.