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
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
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 | 551 | $40K | |
| 2019 | 393 | $28K | |
| 2020 | 82 | $5K | |
| 2021 | 321 | $28K | |
| 2022 | 445 | $39K | |
| 2023 | 151 | $15K | |
| 2024incomplete | 466 | $48K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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.