Roman Carlo, Rosa

Roman Carlo, Rosa was paid $134K by Medicaid between Jan 2018 and Nov 2024, across 9 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 72% of everything it billed.

33Billing provider infoROMAN CARLO, ROSA
MAYAGUEZ, PR 00680

33aNPI1154313849assigned 08/18/2005

33bProvider typePulmonary Disease Physician

28Total paid$134K

24GClaims2,992

24DCodes billed9

24AFirst – last monthJan 2018 – Nov 2024

Compared with peers

Next to other Pulmonary Disease Physician providers in Puerto Rico

Rank by total paid#20 of 55

Median peer was paid$68K

This provider vs. median2.0×

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	756	$23K
2019	296	$5K
2020	256	$11K
2021	343	$17K
2022	379	$18K
2023	436	$26K
2024incomplete	526	$34K

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	72%	2,091	1,852	$96K
99232	Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity	12%	282	147	$16K
99253		4.1%	120	114	$5K
94060		3.9%	139	128	$5K
94010		2.4%	120	95	$3K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	2.1%	45	28	$3K
94729		2.0%	68	58	$3K
94727		1.6%	68	58	$2K
94760		<1%	59	47	$183.85

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.