Hernandez Roman, Marcos

Hernandez Roman, Marcos was paid $263K by Medicaid between Jan 2018 and Nov 2024, across 6 billing codes. Its largest line is 99233, hospital visit by a doctor, follow-up day (complex) — 38% of everything it billed.

33Billing provider infoHERNANDEZ ROMAN, MARCOS
MIAMI, FL 33155

33aNPI1033489711assigned 01/11/2012

33bProvider typeNephrology Physician

28Total paid$263K

24GClaims13,064

24DCodes billed6

24AFirst – last monthJan 2018 – Nov 2024

Compared with peers

Next to other Nephrology Physician providers in Florida

Rank by total paid#28 of 188

Median peer was paid$28K

This provider vs. median9.3×

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	465	$6K
2019	1,641	$26K
2020	2,400	$48K
2021	2,556	$56K
2022	2,067	$48K
2023	2,214	$48K
2024incomplete	1,721	$31K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99233	Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m	38%	4,364	1,329	$101K
99223	Prolong inpt eval add15 m	32%	1,323	901	$85K
99232	Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity	27%	6,489	1,953	$71K
99222	Initial hospital care, per day, moderate complexity	2.5%	278	193	$7K
1123F		0%	270	224	$0.00
G8427	Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications	0%	340	264	$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.