Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Tejeda, Carlos

Tejeda, Carlos was paid $1.03M by Medicaid between Jan 2018 and Nov 2024, across 79 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 37% of everything it billed.

33Billing provider infoTEJEDA, CARLOS
PASSAIC, NJ 07055
33aNPI1851342703assigned 05/15/2006
28Total paid$1.03M
24GClaims141,903
24DCodes billed79
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers

Next to other Internal Medicine Physician providers in New Jersey

Rank by total paid#63 of 1,027
Median peer was paid$30K
This provider vs. median35×

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$20K$40K2018201920202021202220232024
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
201829,142$271K
201931,133$236K
202021,229$184K
202117,645$116K
202216,279$93K
202312,661$62K
2024incomplete13,814$67K
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 37% 9,812 9,085 $382K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 28% 8,230 7,543 $285K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 9.3% 1,083 1,075 $95K
99497 5.3% 1,833 1,807 $55K
99401 3.9% 2,053 1,641 $40K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 3.1% 2,796 2,726 $32K
90746 3.0% 644 642 $30K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 1.5% 198 198 $16K
93000 1.4% 2,345 2,308 $15K
90686 1.3% 988 978 $13K
90715 1.1% 378 374 $11K
90674 <1% 384 381 $7K
67 more codes
99402 <1% 143 $5K
96127 <1% 1,895 $5K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity <1% 358 $5K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 567 $4K
90662 <1% 480 $4K
99490 Ccm add 20min <1% 1,062 $2K
G0444 Annual depression screening, 5 to 15 minutes <1% 650 $2K
82962 <1% 2,498 $2K
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source <1% 110 $2K
94060 <1% 62 $1K
94729 <1% 62 $1K
94726 <1% 61 $1K
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit <1% 452 $1K
G0442 Annual alcohol misuse screening, 5 to 15 minutes <1% 589 $1K
90732 <1% 29 $1K
99457 <1% 195 $971.75
G0008 Administration of influenza virus vaccine <1% 647 $927.01
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) <1% 46 $908.18
99458 <1% 172 $752.64
90656 <1% 45 $735.84
90472 Immunization administration, each additional vaccine (list separately) <1% 96 $729.40
99397 <1% 28 $695.57
G0447 Face-to-face behavioral counseling for obesity, 15 minutes <1% 189 $594.59
G0451 Development testing, with interpretation and report, per standardized instrument form <1% 207 $506.09
87804 Infectious agent antigen detection by immunoassay; Influenza, each type <1% 41 $429.45
99215 Doctor's office visit, returning patient (complex) <1% 13 $425.66
99454 <1% 77 $405.96
3008F <1% 14,252 $307.00
82950 <1% 162 $284.85
94375 <1% 14 $164.99
90688 <1% 15 $123.20
1159F <1% 15,528 $98.81
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) <1% 133 $73.55
99439 <1% 34 $59.30
J1885 Injection, ketorolac tromethamine, per 15 mg <1% 27 $23.20
0521F <1% 714 $4.00
3078F <1% 11,868 $1.00
3725F 0% 2,780 $0.00
1160F 0% 15,226 $0.00
1158F 0% 1,418 $0.00
0518F 0% 151 $0.00
2014F 0% 152 $0.00
3077F 0% 1,770 $0.00
1090F 0% 139 $0.00
3050F 0% 37 $0.00
1100F 0% 39 $0.00
1170F 0% 606 $0.00
2010F 0% 13,325 $0.00
3074F 0% 9,668 $0.00
2000F 0% 2,110 $0.00
1101F 0% 437 $0.00
1125F 0% 591 $0.00
3075F 0% 3,048 $0.00
3079F 0% 2,114 $0.00
1126F 0% 576 $0.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 0% 24 $0.00
1111F 0% 176 $0.00
H0049 Alcohol and/or drug screening 0% 277 $0.00
1036F 0% 1,257 $0.00
3080F 0% 390 $0.00
3049F 0% 83 $0.00
3044F 0% 1,103 $0.00
1030F 0% 29 $0.00
3048F 0% 71 $0.00
90694 0% 15 $0.00
4037F 0% 14 $0.00
1034F 0% 12 $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.