Physician
Roque, Elmer
Roque, Elmer was paid $1.34M by Medicaid between Jan 2018 and Dec 2024, across 36 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 45% of everything it billed.
33Billing provider infoROQUE, ELMER
MONTGOMERY, AL 36117
MONTGOMERY, AL 36117
33aNPI1134141096assigned 07/23/2006
33bProvider typeFamily Medicine Physician
28Total paid$1.34M
24GClaims32,951
24DCodes billed36
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Family Medicine Physician providers in Alabama
Rank by total paid#33 of 455
Median peer was paid$57K
This provider vs. median24×
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 | 14,975 | $583K | |
| 2019 | 16,436 | $677K | |
| 2020 | 370 | $17K | |
| 2021 | 236 | $16K | |
| 2022 | 182 | $13K | |
| 2023 | 159 | $10K | |
| 2024incomplete | 593 | $29K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 45% | 6,804 | 5,888 | $607K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 7.1% | 1,579 | 1,450 | $96K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 6.8% | 1,537 | 1,336 | $91K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 6.6% | 1,435 | 1,300 | $89K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 6.4% | 1,403 | 1,264 | $86K |
| 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 | 3.9% | 407 | 344 | $52K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 2.5% | 555 | 503 | $34K |
| 90670 | 2.0% | 1,160 | 1,079 | $26K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 1.9% | 1,323 | 1,208 | $26K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 1.7% | 1,909 | 1,657 | $23K |
| 90620 | 1.6% | 886 | 821 | $21K | |
| 90686 | 1.4% | 1,039 | 997 | $19K |
24 more codes
| 90651 | 1.2% | 438 | $16K | |
| 90680 | 1.2% | 826 | $16K | |
| 92551 | 1.2% | 1,998 | $16K | |
| 90716 | 1.1% | 538 | $14K | |
| 90698 | <1% | 686 | $13K | |
| 90744 | <1% | 677 | $12K | |
| 90707 | <1% | 544 | $12K | |
| 90633 | <1% | 609 | $12K | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 429 | $11K |
| 90685 | <1% | 556 | $10K | |
| 90700 | <1% | 514 | $10K | |
| 99173 | <1% | 2,044 | $9K | |
| 81002 | <1% | 2,071 | $5K | |
| 90647 | <1% | 202 | $4K | |
| 90723 | <1% | 177 | $3K | |
| 90734 | <1% | 117 | $3K | |
| 90713 | <1% | 137 | $2K | |
| 90648 | <1% | 121 | $2K | |
| 90715 | <1% | 50 | $840.64 | |
| 90461 | <1% | 12 | $743.60 | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 27 | $715.50 |
| 86580 | <1% | 76 | $413.15 | |
| 90656 | <1% | 18 | $402.30 | |
| 84030 | 0% | 47 | $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.