Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Roukoz, Diana

Roukoz, Diana was paid $232K by Medicaid between Jan 2018 and Jul 2020, across 20 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 31% of everything it billed.

33Billing provider infoROUKOZ, DIANA
ARNOLD, MO 63010
33aNPI1144404955assigned 12/28/2007
33bProvider typePediatrics Physician
28Total paid$232K
24GClaims4,798
24DCodes billed20
24AFirst – last monthJan 2018 – Jul 2020
Compared with peers

Next to other Pediatrics Physician providers in Missouri

Rank by total paid#159 of 992
Median peer was paid$40K
This provider vs. median5.7×

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

$0$10K$20K2018201920202021202220232024
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
YearClaimsPaid
20182,033$96K
20192,234$107K
2020531$28K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 31% 1,456 1,329 $71K
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 18% 574 542 $43K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 15% 382 370 $34K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 14% 368 362 $33K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 6.5% 163 161 $15K
92551 6.4% 372 368 $15K
90698 3.4% 227 224 $8K
90686 1.7% 596 579 $4K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 1.3% 32 32 $3K
90670 <1% 282 279 $2K
90680 <1% 113 113 $794.00
99173 <1% 17 17 $482.40
8 more codes
90710 <1% 16 $455.98
90633 <1% 64 $452.28
90696 <1% 15 $398.98
90744 <1% 34 $228.89
99188 <1% 13 $221.00
99177 <1% 17 $220.85
90651 <1% 30 $213.15
90734 <1% 27 $191.09

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.