Physician
Lazala, Carmen
Lazala, Carmen was paid $82K by Medicaid between Jan 2018 and Oct 2024, across 47 billing codes. Its largest line is 90460, Immunization administration through 18 years of age via any route, first or only component — 28% of everything it billed.
33Billing provider infoLAZALA, CARMEN
BRONX, NY 10458
BRONX, NY 10458
33aNPI1851350730assigned 03/21/2006
33bProvider typePediatric Endocrinology Physician
28Total paid$82K
24GClaims13,547
24DCodes billed47
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers
Next to other Pediatric Endocrinology Physician providers in New York
Rank by total paid#15 of 36
Median peer was paid$22K
This provider vs. median3.8×
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 | 2,584 | $20K | |
| 2019 | 635 | $4K | |
| 2020 | 951 | $8K | |
| 2021 | 5,688 | $26K | |
| 2022 | 1,215 | $10K | |
| 2023 | 1,871 | $12K | |
| 2024incomplete | 603 | $3K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 28% | 728 | 714 | $23K |
| 92587 | 24% | 728 | 727 | $20K | |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | 13% | 366 | 366 | $10K |
| 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 | 11% | 411 | 411 | $9K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 7.9% | 283 | 271 | $7K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 6.2% | 701 | 694 | $5K |
| 86580 | 2.4% | 267 | 262 | $2K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 1.5% | 211 | 211 | $1K |
| G0396 | Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and brief intervention 15 to 30 minutes | 1.4% | 43 | 43 | $1K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 157 | 157 | $682.94 |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 77 | 76 | $641.00 |
| S9451 | Exercise classes, non-physician provider, per session | <1% | 286 | 286 | $640.00 |
35 more codes
| D1206 | Topical application of fluoride varnish | <1% | 18 | $540.00 |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 51 | $382.49 |
| 36415 | Collection of venous blood by venipuncture | <1% | 1,185 | $313.84 |
| H0001 | Alcohol and/or drug assessment | <1% | 182 | $240.00 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 12 | $176.45 |
| 90686 | <1% | 185 | $126.12 | |
| 99000 | <1% | 820 | $45.00 | |
| 90461 | <1% | 67 | $30.24 | |
| 3008F | <1% | 1,326 | $30.00 | |
| 87491 | Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe | <1% | 205 | $24.63 |
| 81002 | <1% | 764 | $20.11 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | <1% | 710 | $10.00 |
| 99173 | <1% | 489 | $7.60 | |
| A4930 | Gloves, sterile, per pair | <1% | 343 | $1.64 |
| A6413 | Adhesive bandage, first-aid type, any size, each | 0% | 268 | $0.00 |
| 3016F | 0% | 153 | $0.00 | |
| 3725F | 0% | 153 | $0.00 | |
| 90671 | 0% | 13 | $0.00 | |
| 99401 | 0% | 227 | $0.00 | |
| G9622 | Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method | 0% | 154 | $0.00 |
| 4004F | 0% | 18 | $0.00 | |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 93 | $0.00 |
| G9820 | Documentation of a chlamydia screening test with proper follow-up | 0% | 28 | $0.00 |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 0% | 17 | $0.00 |
| 99080 | 0% | 85 | $0.00 | |
| 97802 | 0% | 485 | $0.00 | |
| 1000F | 0% | 188 | $0.00 | |
| 2000F | 0% | 136 | $0.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 154 | $0.00 |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 110 | $0.00 |
| G9275 | Documentation that patient is a current non-tobacco user | 0% | 189 | $0.00 |
| 2001F | 0% | 136 | $0.00 | |
| 2010F | 0% | 136 | $0.00 | |
| 1036F | 0% | 153 | $0.00 | |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 0% | 36 | $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.