Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › TX › Laredo › NPI 1912178955

Carlos H. Orces M.D. P. a

Carlos H. Orces M.D. P. a was paid $515K by Medicaid between Jan 2018 and Nov 2024, across 7 billing codes. Its largest line is 99444, — 40% of everything it billed.

33Billing provider infoCARLOS H. ORCES M.D. P. A
LAREDO, TX 78041
33aNPI1912178955assigned 03/18/2008
33bProvider typeSpecialist
28Total paid$515K
24GClaims15,665
24DCodes billed7
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers

Next to other Specialist providers in Texas

Rank by total paid#68 of 382
Median peer was paid$29K
This provider vs. median18×

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$10K$20K2018201920202021202220232024
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
20182,527$86K
20193,604$153K
20203,156$131K
20213,106$65K
20221,538$34K
20231,069$27K
2024incomplete665$20K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99444 40% 3,597 878 $205K
99423 27% 3,512 881 $141K
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 27% 5,995 5,493 $138K
99091 5.5% 1,504 880 $28K
G0179 Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care <1% 914 914 $1K
99233 Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m <1% 130 41 $593.85
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% 13 13 $511.81

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 officialORCES, CECILIA (BILLING MANAGER)