Physician
Carlos Hernandez, M.D., P.A.
Carlos Hernandez, M.D., P.A. was paid $330K by Medicaid between Jan 2018 and Dec 2024, across 14 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 75% of everything it billed.
33Billing provider infoCARLOS HERNANDEZ, M.D., P.A.
EAGLE PASS, TX 78852
EAGLE PASS, TX 78852
33aNPI1932126596assigned 07/17/2006
33bProvider typeObstetrics & Gynecology Physician
28Total paid$330K
24GClaims12,231
24DCodes billed14
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Obstetrics & Gynecology Physician providers in Texas
Rank by total paid#142 of 432
Median peer was paid$103K
This provider vs. median3.2×
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 | 795 | $15K | |
| 2019 | 77 | $2K | |
| 2020 | 595 | $13K | |
| 2021 | 3,265 | $91K | |
| 2022 | 2,932 | $81K | |
| 2023 | 2,374 | $66K | |
| 2024incomplete | 2,193 | $64K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 75% | 8,244 | 5,074 | $247K |
| 99000 | 6.6% | 2,232 | 2,006 | $22K | |
| 99235 | 5.4% | 113 | 101 | $18K | |
| 59025 | Fetal non-stress test | 4.8% | 464 | 229 | $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% | 286 | 276 | $14K |
| 59409 | Vaginal delivery only (with or without episiotomy and/or forceps) | 2.5% | 14 | 14 | $8K |
| 59430 | <1% | 28 | 24 | $3K | |
| 76815 | Ultrasound, pregnant uterus, real time with image documentation, limited | <1% | 12 | 12 | $887.70 |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 77 | 70 | $547.93 |
| 90715 | <1% | 13 | 13 | $456.50 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 12 | 12 | $95.64 |
| 36415 | Collection of venous blood by venipuncture | 0% | 158 | 153 | $0.00 |
2 more codes
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 officialHERNANDEZ, CARLOS (MEDICAL DIRECTOR)
| Provider | Location | Paid |
|---|---|---|
| Jewish Family and Children's Service of Southern Arizona, INC | Tucson, AZ | $5.80M |
| Solace Hospice Care, LLC | College Station, TX | $913K |
| Wellmed Medical Group, PA | San Antonio, TX | $581K |
| Pasadena Obgyn MD PA | Pasadena, TX | $140K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.