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

Flores, Carlos

Flores, Carlos was paid $204K by Medicaid between Jan 2018 and Dec 2024, across 4 billing codes. Its largest line is 96158, — 62% of everything it billed.

33Billing provider infoFLORES, CARLOS
BERWYN, IL 60402
33aNPI1700094570assigned 05/18/2007
33bProvider typeProfessional Counselor
28Total paid$204K
24GClaims2,409
24DCodes billed4
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Professional Counselor providers in Illinois

Rank by total paid#49 of 314
Median peer was paid$39K
This provider vs. median5.3×

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$10K2018201920202021202220232024
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
2018551$40K
2019393$28K
202082$5K
2021321$28K
2022445$39K
2023151$15K
2024incomplete466$48K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
96158 62% 1,411 512 $127K
96152 33% 944 317 $68K
96156 3.7% 27 27 $8K
99499 <1% 27 25 $2K

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.