Mario Carcamo MD INC
Mario Carcamo MD INC was paid $4.61M by Medicaid between Jan 2018 and Dec 2024, across 58 billing codes. Its largest line is 99215, doctor's office visit, returning patient (complex) — 54% of everything it billed.
33Billing provider infoMARIO CARCAMO MD INC
RIVERSIDE, CA 92501
RIVERSIDE, CA 92501
33aNPI1821271412assigned 12/06/2007
33bProvider typeSpecialist
28Total paid$4.61M
24GClaims327,772
24DCodes billed58
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Specialist providers in California
Rank by total paid#53 of 1,230
Median peer was paid$51K
This provider vs. median90×
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 | 28,219 | $367K | |
| 2019 | 44,888 | $555K | |
| 2020 | 41,466 | $414K | |
| 2021 | 53,758 | $782K | |
| 2022 | 53,254 | $734K | |
| 2023 | 56,211 | $807K | |
| 2024incomplete | 49,976 | $947K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 54% | 16,689 | 16,171 | $2.50M |
| 99205 | Prolong outpt/office vis | 15% | 3,601 | 3,579 | $681K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 9.9% | 68,283 | 60,688 | $456K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 7.2% | 7,346 | 7,241 | $334K |
| 99381 | 2.7% | 1,720 | 1,684 | $124K | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 2.1% | 10,741 | 10,676 | $96K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 1.4% | 11,794 | 11,761 | $65K |
| 99460 | 1.0% | 673 | 637 | $47K | |
| 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% | 296 | 277 | $44K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 10,198 | 10,183 | $43K |
| 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 | <1% | 341 | 337 | $34K |
| 90698 | <1% | 5,462 | 5,448 | $27K |
46 more codes
| 90744 | <1% | 4,572 | $23K | |
| 90670 | <1% | 5,806 | $23K | |
| 90681 | <1% | 3,421 | $22K | |
| 99462 | <1% | 600 | $19K | |
| 92551 | <1% | 27,900 | $15K | |
| G9920 | Screening performed and negative | <1% | 9,401 | $12K |
| 90686 | <1% | 10,701 | $5K | |
| G9919 | Screening performed and positive and provision of recommendations | <1% | 3,777 | $5K |
| 90633 | <1% | 3,947 | $5K | |
| 90671 | <1% | 1,094 | $4K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 1,998 | $4K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 12 | $2K |
| 90716 | <1% | 1,776 | $2K | |
| 90734 | <1% | 2,564 | $2K | |
| 90707 | <1% | 1,699 | $2K | |
| 90651 | <1% | 4,647 | $2K | |
| 90700 | <1% | 1,845 | $2K | |
| 90710 | <1% | 1,907 | $2K | |
| 90696 | <1% | 1,791 | $1K | |
| 92081 | <1% | 26,540 | $1K | |
| 90715 | <1% | 2,342 | $1K | |
| 90648 | <1% | 1,419 | $1K | |
| 86580 | <1% | 412 | $1K | |
| 90620 | <1% | 2,986 | $888.57 | |
| 90658 | <1% | 388 | $872.00 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 2,940 | $540.84 |
| 90619 | <1% | 1,507 | $530.91 | |
| 90657 | <1% | 130 | $477.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 8,891 | $407.56 |
| 85018 | <1% | 30,906 | $359.33 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 1,330 | $192.15 |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | <1% | 2,617 | $139.30 |
| 99383 | <1% | 12 | $131.28 | |
| G0444 | Annual depression screening, 5 to 15 minutes | <1% | 11,811 | $91.92 |
| 90713 | <1% | 18 | $72.00 | |
| 90688 | <1% | 180 | $63.00 | |
| 96161 | <1% | 148 | $20.65 | |
| 90649 | <1% | 33 | $18.00 | |
| 96150 | 0% | 278 | $0.00 | |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 22 | $0.00 |
| 81000 | 0% | 49 | $0.00 | |
| 99408 | 0% | 4,896 | $0.00 | |
| 99401 | 0% | 1,179 | $0.00 | |
| 99382 | 0% | 12 | $0.00 | |
| 99499 | 0% | 22 | $0.00 | |
| 99173 | 0% | 102 | $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.
From NPPES
Who's on the registration
Authorized officialCARCAMO, MARIO (CEO)