Clinic
Nestor I.C. Del Rosario MD INC.
Nestor I.C. Del Rosario MD INC. was paid $106K by Medicaid between Jan 2018 and Nov 2024, across 28 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 67% of everything it billed.
33Billing provider infoNESTOR I.C. DEL ROSARIO MD INC.
WAIPAHU, HI 96797
WAIPAHU, HI 96797
33aNPI1184989030assigned 07/06/2012
33bProvider typeClinic/Center
28Total paid$106K
24GClaims19,504
24DCodes billed28
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Clinic/Center providers in Hawaii
Rank by total paid#15 of 41
Median peer was paid$75K
This provider vs. median1.4×
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 | 2,297 | $23K | |
| 2019 | 3,756 | $19K | |
| 2020 | 3,246 | $12K | |
| 2021 | 3,377 | $13K | |
| 2022 | 2,879 | $19K | |
| 2023 | 2,092 | $14K | |
| 2024incomplete | 1,857 | $6K |
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 | 67% | 2,737 | 2,241 | $71K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 12% | 371 | 325 | $13K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 9.3% | 524 | 444 | $10K |
| 99401 | 4.9% | 206 | 161 | $5K | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 4.6% | 169 | 148 | $5K |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | <1% | 176 | 144 | $801.46 |
| 96127 | <1% | 430 | 372 | $449.42 | |
| 0518F | <1% | 337 | 264 | $420.64 | |
| 99397 | <1% | 30 | 30 | $195.88 | |
| 1160F | <1% | 336 | 263 | $163.20 | |
| 1170F | <1% | 326 | 251 | $122.45 | |
| Q2039 | Influenza virus vaccine, not otherwise specified | <1% | 19 | 18 | $64.40 |
16 more codes
| 1090F | <1% | 309 | $32.64 | |
| G0444 | Annual depression screening, 5 to 15 minutes | <1% | 125 | $11.42 |
| 3079F | 0% | 254 | $0.00 | |
| 3008F | 0% | 4,044 | $0.00 | |
| 1123F | 0% | 242 | $0.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 528 | $0.00 |
| 3074F | 0% | 2,433 | $0.00 | |
| G9903 | Patient screened for tobacco use and identified as a tobacco non-user | 0% | 660 | $0.00 |
| 1157F | 0% | 19 | $0.00 | |
| 3075F | 0% | 960 | $0.00 | |
| 1126F | 0% | 116 | $0.00 | |
| 1036F | 0% | 112 | $0.00 | |
| 3078F | 0% | 3,691 | $0.00 | |
| 1159F | 0% | 248 | $0.00 | |
| 2028F | 0% | 83 | $0.00 | |
| 3725F | 0% | 19 | $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.
From NPPES
Who's on the registration
Authorized officialDEL ROSARIO, NESTOR ISIDRO (PHYSICIAN)