Familia, Carmen
Familia, Carmen was paid $116K by Medicaid between Jan 2018 and Sep 2024, across 38 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 76% of everything it billed.
33Billing provider infoFAMILIA, CARMEN
BRONX, NY 10456
BRONX, NY 10456
33aNPI1770807992assigned 03/17/2010
33bProvider typeStudent in an Organized Health Care Education/Training Program
28Total paid$116K
24GClaims8,787
24DCodes billed38
24AFirst – last monthJan 2018 – Sep 2024
Compared with peers
Next to other Student in an Organized Health Care Education/Training Program providers in New York
Rank by total paid#101 of 2,013
Median peer was paid$4K
This provider vs. median31×
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 | 327 | $5K | |
| 2019 | 224 | $13K | |
| 2020 | 963 | $14K | |
| 2021 | 5,479 | $42K | |
| 2022 | 779 | $12K | |
| 2023 | 834 | $17K | |
| 2024incomplete | 181 | $13K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 76% | 1,736 | 1,713 | $88K |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | 6.2% | 343 | 338 | $7K |
| G0270 | Medical nutrition therapy; reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition or treatment regimen (including additional hours needed for renal disease), individual, face to face with the patient, each 15 minutes | 5.8% | 275 | 271 | $7K |
| G0444 | Annual depression screening, 5 to 15 minutes | 4.4% | 370 | 366 | $5K |
| 99397 | 3.6% | 91 | 90 | $4K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 1.2% | 136 | 136 | $1K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | <1% | 14 | 14 | $1K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 53 | 52 | $545.33 |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 159 | 157 | $504.70 |
| 3079F | <1% | 214 | 213 | $445.00 | |
| 3074F | <1% | 242 | 241 | $442.50 | |
| 1159F | <1% | 277 | 274 | $55.00 |
26 more codes
| 1160F | <1% | 277 | $55.00 | |
| 99442 | <1% | 17 | $23.48 | |
| H0001 | Alcohol and/or drug assessment | <1% | 286 | $22.50 |
| 97802 | <1% | 349 | $16.59 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 244 | $15.60 |
| 1036F | 0% | 254 | $0.00 | |
| 3008F | 0% | 287 | $0.00 | |
| G9275 | Documentation that patient is a current non-tobacco user | 0% | 285 | $0.00 |
| 1000F | 0% | 235 | $0.00 | |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 91 | $0.00 |
| 3044F | 0% | 46 | $0.00 | |
| 99429 | 0% | 237 | $0.00 | |
| 3048F | 0% | 12 | $0.00 | |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 233 | $0.00 |
| G9664 | Patients who are currently statin therapy users or received an order (prescription) for statin therapy | 0% | 32 | $0.00 |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 0% | 18 | $0.00 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 271 | $0.00 |
| 3016F | 0% | 270 | $0.00 | |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 0% | 210 | $0.00 |
| 3725F | 0% | 268 | $0.00 | |
| G9622 | Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method | 0% | 245 | $0.00 |
| 90658 | 0% | 19 | $0.00 | |
| 99080 | 0% | 540 | $0.00 | |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 57 | $0.00 |
| 4013F | 0% | 74 | $0.00 | |
| 3078F | 0% | 20 | $0.00 |
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.