Physician
Flores, Charles
Flores, Charles was paid $270K by Medicaid between Jan 2018 and Oct 2021, across 30 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 infoFLORES, CHARLES
HAMILTON, NJ 08619
HAMILTON, NJ 08619
33aNPI1962659953assigned 08/21/2008
33bProvider typePediatric Sports Medicine Physician
28Total paid$270K
24GClaims31,276
24DCodes billed30
24AFirst – last monthJan 2018 – Oct 2021
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 | 9,402 | $59K | |
| 2019 | 7,674 | $60K | |
| 2020 | 7,386 | $77K | |
| 2021 | 6,814 | $75K |
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% | 3,678 | 3,608 | $76K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 24% | 3,274 | 3,242 | $66K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 13% | 943 | 941 | $35K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 10% | 748 | 748 | $28K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 7.9% | 562 | 560 | $21K |
| 90461 | 6.7% | 1,018 | 1,015 | $18K | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 4.3% | 304 | 303 | $12K |
| 90686 | 2.5% | 403 | 400 | $7K | |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 1.1% | 57 | 56 | $3K |
| 99188 | <1% | 133 | 133 | $2K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | <1% | 2,704 | 2,618 | $941.40 |
| 0002A | <1% | 15 | 15 | $600.00 |
18 more codes
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 393 | $174.24 |
| 97802 | <1% | 3,213 | $68.97 | |
| 92551 | <1% | 1,923 | $58.25 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 30 | $34.00 |
| 96127 | <1% | 2,789 | $15.39 | |
| 99051 | <1% | 1,719 | $5.00 | |
| 96160 | <1% | 809 | $3.99 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 0% | 259 | $0.00 |
| 91300 | 0% | 44 | $0.00 | |
| 99401 | 0% | 13 | $0.00 | |
| 99177 | 0% | 17 | $0.00 | |
| 81002 | 0% | 14 | $0.00 | |
| 99214 | Doctor's office visit, returning patient (more involved) | 0% | 1,083 | $0.00 |
| S9451 | Exercise classes, non-physician provider, per session | 0% | 2,038 | $0.00 |
| 3008F | 0% | 2,339 | $0.00 | |
| 99000 | 0% | 686 | $0.00 | |
| 99174 | 0% | 55 | $0.00 | |
| 90723 | 0% | 13 | $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.