Robles, Carlos

Robles, Carlos was paid $208K by Medicaid between Nov 2018 and Nov 2024, across 11 billing codes. Its largest line is 99233, hospital visit by a doctor, follow-up day (complex) — 51% of everything it billed.

33Billing provider infoROBLES, CARLOS
DORADO, PR 00646

33aNPI1710148325assigned 06/17/2008

33bProvider typeInternal Medicine Physician

28Total paid$208K

24GClaims3,864

24DCodes billed11

24AFirst – last monthNov 2018 – Nov 2024

Compared with peers

Next to other Internal Medicine Physician providers in Puerto Rico

Rank by total paid#70 of 518

Median peer was paid$5K

This provider vs. median42×

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	17	$694.40
2019	197	$3K
2020	446	$25K
2021	864	$47K
2022	699	$45K
2023	566	$32K
2024incomplete	1,075	$55K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99233	Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m	51%	1,446	329	$107K
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	28%	780	728	$59K
99291	Critical care, evaluation and management of the critically ill patient, first 30-74 minutes	5.2%	61	12	$11K
99222	Initial hospital care, per day, moderate complexity	5.1%	110	109	$11K
94060		2.7%	127	116	$6K
94664		2.5%	779	729	$5K
99223	Prolong inpt eval add15 m	1.3%	18	12	$3K
99254		1.2%	62	58	$3K
94760		<1%	377	293	$2K
99204	Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity	<1%	14	14	$2K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	<1%	90	86	$1K

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.