Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Vargas, Carlos

Vargas, Carlos was paid $66K by Medicaid between Jun 2023 and Nov 2024, across 8 billing codes. Its largest line is 99223, Prolong inpt eval add15 m — 68% of everything it billed.

33Billing provider infoVARGAS, CARLOS
SAN JUAN, PR 00918
33aNPI1861015299assigned 05/20/2020
28Total paid$66K
24GClaims897
24DCodes billed8
24AFirst – last monthJun 2023 – Nov 2024
Compared with peers

Next to other Student in an Organized Health Care Education/Training Program providers in Puerto Rico

Rank by total paid#31 of 77
Median peer was paid$39K
This provider vs. median1.7×

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$5.0K$10K$15K2018201920202021202220232024
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
2023260$20K
2024incomplete637$46K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99223 Prolong inpt eval add15 m 68% 419 332 $45K
99235 8.4% 45 35 $6K
99283 Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity 8.1% 88 51 $5K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 7.8% 160 130 $5K
99234 6.6% 98 91 $4K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour <1% 29 26 $238.44
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 37 28 $204.87
94664 <1% 21 12 $122.63

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.