Physician

Carlos E Hernandez, M.D.

According to 2025 Medicare claims, Carlos Hernandez, M.D. (NPI: 1417907999) practices obstetrics/gynecology in the Eagle Pass, TX market, with the plurality of this provider's patient population coming from Maverick, TX. This provider's primary affiliated billing organization is CARLOS HERNANDEZ, M.D., P.A. (NPI: 1932126596; TIN: 742912480) and primary practice location at 78852-4456.

Hernandez's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 24 traditional Medicare patients, billed 47 HCPCS/CPT codes, and received $2,426 in Medicare payments. The top billing code was 99213 (Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more). Part D data shows 222 prescription claims across 75 beneficiaries totaling $56,634 in drug costs, led by Jardiance (Empagliflozin). 2022 DME data shows 12 claims. Open Payments data shows 1 records totaling $53. You can download detailed data with all billing codes (2015-2024). For more recent data, please contact us.

Over the past 10 years, this provider's Medicare Part B carrier billing started with an early spike, then settled into a lower baseline, moving from $5,549 to $2,426. In contrast, Part D prescription costs have risen steadily, from $7,996 to $56,634. For DME billing, reported payments started with an early spike, then settled into a lower baseline, moving from $1,637 to $627.

Part B Carrier Billing Trend

Medicare payment trend, with N of patients and claim lines in the table.

Part B Carrier Billing Trend. X-axis: year 2015-2024. Y-axis: Medicare payment, unit: USD. Field: Tot_Mdcr_Pymt_Amt. Source: Medicare Physician & Other Practitioners by Provider.0$30K$61K2016 Medicare payment: $5,549 (USD; Tot_Mdcr_Pymt_Amt)2017 Medicare payment: $60,619 (USD; Tot_Mdcr_Pymt_Amt)2018 Medicare payment: $19,018 (USD; Tot_Mdcr_Pymt_Amt)2019 Medicare payment: $5,054 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $6,579 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $6,831 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $3,535 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $3,204 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $2,426 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
2015N/RN/RN/R
201650102$5,549
20173051,607$60,619
2018232637$19,018
20194689$5,054
20203497$6,579
20213994$6,831
20222663$3,535
20233366$3,204
20242447$2,426

Part D Events Trend

Drug cost trend, with N of patients and prescription claims in the table.

Part D Events Trend. X-axis: year 2015-2024. Y-axis: Drug cost, unit: USD. Field: Tot_Drug_Cst. Source: Medicare Part D Prescribers by Provider.0$28K$57K2015 Drug cost: $7,996 (USD; Tot_Drug_Cst)2016 Drug cost: $4,430 (USD; Tot_Drug_Cst)2017 Drug cost: $21,706 (USD; Tot_Drug_Cst)2018 Drug cost: $15,121 (USD; Tot_Drug_Cst)2019 Drug cost: $4,830 (USD; Tot_Drug_Cst)2020 Drug cost: $17,014 (USD; Tot_Drug_Cst)2021 Drug cost: $25,383 (USD; Tot_Drug_Cst)2022 Drug cost: $46,971 (USD; Tot_Drug_Cst)2023 Drug cost: $45,034 (USD; Tot_Drug_Cst)2024 Drug cost: $56,634 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
20153193$7,996
20163353$4,430
201770183$21,706
201850134$15,121
20193371$4,830
202043107$17,014
202162164$25,383
202272250$46,971
202383245$45,034
202475222$56,634

DME Billing Trend

Medicare payment trend, with N of patients and DME claim records in the table.

DME Billing Trend. X-axis: year 2015-2024. Y-axis: Medicare payment, unit: USD. Field: DME_Suplr_Mdcr_Pymt_Amt. Source: Medicare DME, Devices & Supplies by Referring Provider.0$688$1.4K2017 Medicare payment: $452 (USD; DME_Suplr_Mdcr_Pymt_Amt)2018 Medicare payment: $1,375 (USD; DME_Suplr_Mdcr_Pymt_Amt)2019 Medicare payment: $1,030 (USD; DME_Suplr_Mdcr_Pymt_Amt)2020 Medicare payment: $331 (USD; DME_Suplr_Mdcr_Pymt_Amt)2021 Medicare payment: $521 (USD; DME_Suplr_Mdcr_Pymt_Amt)2022 Medicare payment: $55 (USD; DME_Suplr_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClaimsPayment
2015N/RN/RN/R
2016N/RN/RN/R
20173059$452
201843173$1,375
201931106$1,030
2020N/R48$331
2021N/R61$521
2022N/R12$55
2023N/RN/RN/R
2024N/RN/RN/R

* / # = suppressed by CMS; 0 = reported zero; N/R = not reported or blank.

Top 5 Part B carrier billing codes in 2024

By total payments.

CodeDescriptionPatientsClm LinesTotal Payment
99213Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more1530$56

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
JardianceEmpagliflozin11810$16,256
PremarinEstrogens, Conjugated282,227$12,600
Atorvastatin CalciumAtorvastatin Calcium121,020$93
Medroxyprogesterone AcetateMedroxyprogesterone Acetate14360$57

Top 5 DME services in 2024

No connected or detailed DME service-level records for 2024.

Open Payments Summary in 2024

CategoryDefinitionRecordsTotal Reported AmountTop Related Entity
General PaymentsReported payment or transfer-of-value amount.1$53Organon Llc
Research PaymentsReported research-related payment or transfer-of-value amount.0$0N/R
Ownership / Investment InterestsReported value of ownership or investment interests.0$0N/R

FAQ

What Medicare data is available for Carlos E. Hernandez, M.D.?

Tedicare shows public-source Medicare data for Carlos E. Hernandez, M.D. (NPI 1417907999), including provider identity, specialty, market context, Medicare Part B activity, Part D prescribing, DME records, Open Payments where available, billing organization details, and ACO affiliation signals where available. Profile data covers 2015-2024, with current attribution based on 2025 claims where available.

Does Carlos E. Hernandez, M.D. have ACO affiliation data?

No ACO affiliation record is shown in the available Tedicare data for this profile.

What billing organization is linked to Carlos E. Hernandez, M.D.?

Carlos E. Hernandez, M.D. is linked to CARLOS HERNANDEZ, M.D., P.A. (billing NPI 1932126596) in the available physician profile data.

Does Carlos E. Hernandez, M.D. have Open Payments data?

Carlos E. Hernandez, M.D. has 1 connected Open Payments records in the available 2024 summary data.

Can I download physician-level Medicare data from Tedicare?

Yes. Tedicare provides sample physician export data and paid custom physician data exports for research, planning, outreach, and market analysis. Exports can include physician profile fields, market and specialty context, billing organization details, ACO affiliation signals where available, and Medicare utilization data.