Managed care
Rosa Calderon Services
Rosa Calderon Services was paid $653K by Medicaid between Jan 2018 and Dec 2024, across 18 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 48% of everything it billed.
33Billing provider infoROSA CALDERON SERVICES
PASSAIC, NJ 07055
PASSAIC, NJ 07055
33aNPI1023341872assigned 09/11/2009
33bProvider typePreferred Provider Organization
28Total paid$653K
24GClaims21,279
24DCodes billed18
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Preferred Provider Organization providers in New Jersey
Rank by total paid#4 of 9
Median peer was paid$601K
This provider vs. median1.1×
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 | 3,628 | $95K | |
| 2019 | 3,080 | $77K | |
| 2020 | 3,402 | $73K | |
| 2021 | 2,977 | $132K | |
| 2022 | 2,965 | $113K | |
| 2023 | 2,794 | $96K | |
| 2024incomplete | 2,433 | $66K |
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 | 48% | 11,728 | 10,009 | $314K |
| 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 | 14% | 2,712 | 2,618 | $92K |
| 95165 | Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials | 12% | 525 | 110 | $81K |
| 99402 | 12% | 2,127 | 2,117 | $75K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 7.2% | 2,620 | 2,231 | $47K |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 1.9% | 526 | 495 | $12K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 1.7% | 180 | 172 | $11K |
| 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 | 1.3% | 150 | 150 | $9K |
| 95004 | Percutaneous tests with allergenic extracts, immediate type reaction | <1% | 41 | 37 | $5K |
| G0438 | Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit | <1% | 26 | 26 | $2K |
| G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | <1% | 92 | 90 | $1K |
| 76700 | Ultrasound, abdominal, real time with image documentation; complete | <1% | 12 | 12 | $741.39 |
6 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 officialCALDERON, ROSA (PRINCIPAL)