Carlos a Cosenza MD INC

Carlos a Cosenza MD INC was paid $249K by Medicaid between Jan 2018 and Nov 2024, across 9 billing codes. Its largest line is 99204, doctor's office visit, new patient (more involved) — 38% of everything it billed.

33Billing provider infoCARLOS A COSENZA MD INC
LOS ANGELES, CA 90057

33aNPI1881717635assigned 04/09/2007

33bProvider typeSurgery Physician

28Total paid$249K

24GClaims4,849

24DCodes billed9

24AFirst – last monthJan 2018 – Nov 2024

Compared with peers

Next to other Surgery Physician providers in California

Rank by total paid#73 of 437

Median peer was paid$23K

This provider vs. median11×

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	591	$15K
2019	869	$51K
2020	555	$38K
2021	530	$30K
2022	570	$31K
2023	865	$43K
2024incomplete	869	$40K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
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	38%	2,187	2,186	$94K
99223	Prolong inpt eval add15 m	25%	1,339	1,321	$63K
47562		23%	256	256	$58K
99205	Prolong outpt/office vis	6.6%	287	287	$16K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	4.4%	485	484	$11K
99233	Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m	2.2%	253	123	$5K
99215	Doctor's office visit, returning patient (complex)Prolong outpt/office vis	<1%	13	13	$611.95
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%	14	13	$299.26
49568		0%	15	15	$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 officialCOSENZA, CARLOS (PRESIDENT)