Physician
Roman Alder MD LLC
Roman Alder MD LLC was paid $1.78M by Medicaid between Jan 2018 and Dec 2024, across 35 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 45% of everything it billed.
33Billing provider infoROMAN ALDER MD LLC
NEW MILFORD, CT 06776
NEW MILFORD, CT 06776
33aNPI1235479742assigned 02/20/2013
33bProvider typePediatrics Physician
28Total paid$1.78M
24GClaims31,431
24DCodes billed35
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Connecticut
Rank by total paid#37 of 162
Median peer was paid$313K
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
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 | 4,257 | $241K | |
| 2019 | 4,843 | $255K | |
| 2020 | 4,118 | $224K | |
| 2021 | 4,348 | $259K | |
| 2022 | 5,137 | $278K | |
| 2023 | 4,900 | $277K | |
| 2024incomplete | 3,828 | $247K |
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 | 45% | 9,697 | 7,212 | $806K |
| 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 | 19% | 2,740 | 2,514 | $338K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 7.1% | 1,017 | 992 | $127K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 6.1% | 2,946 | 2,786 | $109K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 5.8% | 869 | 816 | $104K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 5.7% | 2,046 | 1,879 | $102K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 3.6% | 498 | 476 | $64K |
| 96127 | 2.0% | 1,726 | 1,649 | $35K | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 1.3% | 200 | 190 | $23K |
| 92551 | <1% | 2,275 | 2,197 | $14K | |
| 99174 | <1% | 691 | 667 | $13K | |
| 99173 | <1% | 1,673 | 1,610 | $11K |
23 more codes
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 888 | $11K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 40 | $6K |
| 90473 | <1% | 251 | $6K | |
| 86328 | <1% | 114 | $5K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 188 | $2K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 124 | $1K |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | <1% | 882 | $1K |
| 36416 | <1% | 182 | $593.37 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 12 | $277.92 |
| 83655 | <1% | 13 | $138.72 | |
| 96160 | <1% | 39 | $133.92 | |
| 90686 | <1% | 716 | $19.07 | |
| 85018 | <1% | 165 | $2.26 | |
| 90672 | 0% | 273 | $0.00 | |
| 90461 | 0% | 924 | $0.00 | |
| 90670 | 0% | 39 | $0.00 | |
| 90633 | 0% | 26 | $0.00 | |
| 90734 | 0% | 13 | $0.00 | |
| 90685 | 0% | 19 | $0.00 | |
| 90651 | 0% | 27 | $0.00 | |
| 90680 | 0% | 12 | $0.00 | |
| 90698 | 0% | 79 | $0.00 | |
| 90660 | 0% | 27 | $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 officialALDER, ROMAN (OWNER)