Physician
Molina, Carmen
Molina, Carmen was paid $1.58M by Medicaid between Dec 2018 and Apr 2024, across 27 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 69% of everything it billed.
33Billing provider infoMOLINA, CARMEN
HIALEAH, FL 33013
HIALEAH, FL 33013
33aNPI1790841534assigned 12/28/2006
33bProvider typePediatrics Physician
28Total paid$1.58M
24GClaims30,032
24DCodes billed27
24AFirst – last monthDec 2018 – Apr 2024
Compared with peers
Next to other Pediatrics Physician providers in Florida
Rank by total paid#202 of 971
Median peer was paid$238K
This provider vs. median6.6×
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 | 88 | $6K | |
| 2019 | 6,299 | $279K | |
| 2020 | 5,471 | $282K | |
| 2021 | 5,550 | $317K | |
| 2022 | 5,970 | $339K | |
| 2023 | 5,715 | $306K | |
| 2024incomplete | 939 | $54K |
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 | 69% | 12,211 | 8,801 | $1.09M |
| 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 | 9.7% | 1,351 | 1,223 | $153K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 7.8% | 1,068 | 779 | $124K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 6.2% | 753 | 746 | $97K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 3.5% | 423 | 414 | $56K |
| 99423 | 2.2% | 608 | 457 | $36K | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 68 | 62 | $9K |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | <1% | 331 | 319 | $5K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 2,378 | 2,196 | $5K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 441 | 429 | $4K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 1,556 | 1,403 | $3K |
| 97803 | <1% | 3,718 | 3,242 | $746.21 |
15 more codes
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 860 | $719.92 |
| 92567 | <1% | 591 | $151.06 | |
| 90686 | <1% | 500 | $121.76 | |
| 99050 | <1% | 112 | $108.48 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 256 | $3.00 |
| 90670 | 0% | 52 | $0.00 | |
| 90734 | 0% | 33 | $0.00 | |
| 90633 | 0% | 42 | $0.00 | |
| 81002 | 0% | 15 | $0.00 | |
| 90651 | 0% | 108 | $0.00 | |
| S9451 | Exercise classes, non-physician provider, per session | 0% | 2,434 | $0.00 |
| 94010 | 0% | 69 | $0.00 | |
| 93000 | 0% | 24 | $0.00 | |
| 90619 | 0% | 17 | $0.00 | |
| 90680 | 0% | 13 | $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.