Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › IL › Winfield › NPI 1700299641
Physician

Carlos, Lauren

Carlos, Lauren was paid $176K by Medicaid between Aug 2021 and Dec 2024, across 10 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 27% of everything it billed.

33Billing provider infoCARLOS, LAUREN
WINFIELD, IL 60190
33aNPI1700299641assigned 06/09/2014
28Total paid$176K
24GClaims3,682
24DCodes billed10
24AFirst – last monthAug 2021 – Dec 2024
Compared with peers

Next to other Maternal & Fetal Medicine Physician providers in Illinois

Rank by total paid#40 of 70
Median peer was paid$210K
This provider vs. median0.8×

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$10K$15K2018201920202021202220232024
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
2021286$13K
20221,245$60K
20231,237$60K
2024incomplete914$43K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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 27% 608 545 $48K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 25% 1,536 1,457 $45K
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed 15% 468 443 $27K
99244 Office or other outpatient consultation, moderate to high complexity 13% 166 148 $24K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 6.1% 220 195 $11K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 5.1% 299 277 $9K
99215 Doctor's office visit, returning patient (complex)Prolong outpt/office vis 2.4% 60 55 $4K
76819 Fetal biophysical profile; without non-stress testing 2.2% 168 142 $4K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 2.1% 130 128 $4K
76801 <1% 27 26 $867.60

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.