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NPI 1013929272 · Brownsville, TX · Family Medicine Physician
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Carlos Rosas is a family medicine physician provider located in Brownsville, Texas. This profile covers 30 Medicare and 31 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.
Provider details (source: NPPES NPI Registry)
| Field | Value |
|---|---|
| Entity Type | Individual |
| Organization | Carlos Rosas |
| Address | 704 Paredes Line Rd Ste A |
| City | Brownsville |
| State | TX |
| ZIP | 78521 |
| Taxonomy | Family Medicine Physician |
| NPI Enumerated | August 13, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $139.8K |
| Medicaid | $116K |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
30 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 99214 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the… | 270 | $90 | $24.4K |
| 99213 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the… | 430 | $50 | $22.1K |
| 99442 | N/A | 260 | $60 | $14.1K |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 100 | $120 | $12.2K |
| 99309 | The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or the provider… | 130 | $80 | $10.7K |
| 99496 | The provider manages the care of a patient during the transition to home care after discharge from a healthcare facility. The patient’s care requires high–level medical decision making, contact… | 40 | $210 | $8.7K |
| 99490 | The clinical staff provides services directed by the provider to support and coordinate a patient’s care across multiple disciplines. The patient has two or more chronic conditions that place the… | 140 | $40 | $6.2K |
| 99211 | An established patient presents for an office or other outpatient visit that may not require the presence of a physician or other qualified healthcare professional. | 460 | $10 | $5.9K |
| 87637 | The lab analyst performs the technical steps to detect and differentiate severe acute respiratory syndrome coronavirus 2 (SARS–CoV–2), influenza A, influenza B, and respiratory syncytial virus (RSV)… | 30 | $140 | $4.8K |
| 36415 | In this procedure, the provider inserts a needle into a vein to collect a blood sample. | 480 | $10 | $3.8K |
Showing 1–10 of 30
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 30 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
30 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| 87637 | 39 | 70 | 40 | $140 | $404.2K |
| 99309 | 1,157 | 1,840 | 240 | $70 | $35K |
| 99214 | 8,246 | 32,500 | 110 | $80 | $17.6K |
| 99490 | 845 | 1,520 | 180 | $40 | $16.2K |
| 99458 | 296 | 480 | 180 | $30 | $10.8K |
| G0439 | 2,085 | 7,110 | 60 | $120 | $10.6K |
| 99457 | 540 | 720 | 150 | $40 | $10.1K |
| 99454 | 521 | 680 | 130 | $40 | $9K |
| 99213 | 2,070 | 29,790 | 70 | $60 | $8.4K |
| 85025 | 1,185 | 2,910 | 110 | $10 | $6.6K |
Showing 1–10 of 30
Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.
View: By Year1 / 3
Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
31 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 99213 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the… | 2,030 | $30 | $62.9K |
| 99214 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the… | 610 | $40 | $25.6K |
| 99000 | Use this code for the in office preparation of a specimen for lab analysis and or its transport from the office to the outside testing laboratory. | 1,080 | $10 | $10.8K |
| 99211 | An established patient presents for an office or other outpatient visit that may not require the presence of a physician or other qualified healthcare professional. | 910 | $10 | $6.3K |
| 99442 | N/A | 70 | $30 | $2.1K |
| U0002 | 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc | 40 | $50 | $2.1K |
| 87637 | The lab analyst performs the technical steps to detect and differentiate severe acute respiratory syndrome coronavirus 2 (SARS–CoV–2), influenza A, influenza B, and respiratory syncytial virus (RSV)… | 10 | $130 | $1.7K |
| 85025 | A complete blood count (better known as a CBC) is a blood test request by a doctor that provides detailed information about various types of cells in a patient's blood. Usually a pathologist or a… | 240 | $10 | $1.4K |
| 99212 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,… | 40 | $20 | $810 |
| 90682 | This code represents a quadrivalent flu vaccine given by injection into the muscle. The vaccine is made using recombinant DNA technology and contains only a protein from the virus. It does not… | 10 | $50 | $650 |
Showing 1–10 of 31
How this provider's Medicaid billing volume and revenue compare to other Texas providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Texas median
31 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 87637 | The lab analyst performs the technical steps to detect and differentiate severe acute respiratory syndrome coronavirus 2 (SARS–CoV–2), influenza A, influenza B, and respiratory syncytial virus (RSV)… | 120 | 120 | 340 | $120 | $422K |
| 99213 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the… | 2,036 | 6,040 | 710 | $40 | $232.8K |
| 99214 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the… | 2,784 | 5,810 | 540 | $50 | $155.5K |
| U0002 | 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc | 197 | 260 | 300 | $40 | $70.9K |
| 99212 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,… | 1,478 | 1,920 | 220 | $30 | $65.9K |
| 99051 | The provider sees a patient during regular office hours that occur outside of traditional office hours, i.e., in the evening, on a weekend, or on a holiday. | 221 | 320 | 220 | $30 | $59.4K |
| 85025 | A complete blood count (better known as a CBC) is a blood test request by a doctor that provides detailed information about various types of cells in a patient's blood. Usually a pathologist or a… | 767 | 1,070 | 1,090 | $10 | $47.6K |
| 99211 | An established patient presents for an office or other outpatient visit that may not require the presence of a physician or other qualified healthcare professional. | 191 | 960 | 150 | $30 | $46.4K |
| G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | 323 | 340 | 220 | $10 | $24.1K |
| 99000 | Use this code for the in office preparation of a specimen for lab analysis and or its transport from the office to the outside testing laboratory. | 435 | 1,170 | 510 | $10 | $17K |
Showing 1–10 of 31
Other providers in the same ZIP code as Carlos Rosas, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Jericho Health Service, Inc. | TX | Personal Care Attendant | $0 | $45.6M |
| Shalom Home Care, Inc. | TX | Home Health Agency | $0 | $28.3M |
| Mercy Rehab Services Inc. | TX | Comprehensive Outpatient Rehabilitation Facility (CORF) | $0 | $25.4M |
| Brownsville I.s.d. | TX | Local Education Agency (LEA) | $0 | $20.6M |
| Martha Leticia Garcia | TX | Personal Care Attendant | $0 | $18.4M |
| Aaa Healthwatch Inc. | TX | Home Health Agency | $0 | $15.6M |
| Rosa Elia Martinez | TX | Personal Care Attendant | $0 | $14.4M |
| Medical Choice Home Health, LLC | TX | Personal Care Attendant | $0 | $13.7M |
| Brownsville Childrens Clinic P.A. | TX | Pediatrics Physician | $0 | $12.9M |
| Grandpa & Grandma Primary Home Care | TX | Assisted Living Facility | $0 | $11.7M |
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