Physician
Gelen R. Del Rosario MD INC
Gelen R. Del Rosario MD INC was paid $503K by Medicaid between Jan 2018 and Sep 2024, across 23 billing codes. Its largest line is 59425, — 23% of everything it billed.
33Billing provider infoGELEN R. DEL ROSARIO MD INC
NATIONAL CITY, CA 91950
NATIONAL CITY, CA 91950
33aNPI1255738423assigned 12/03/2014
33bProvider typeGynecology Physician
28Total paid$503K
24GClaims14,842
24DCodes billed23
24AFirst – last monthJan 2018 – Sep 2024
Compared with peers
Next to other Gynecology Physician providers in California
Rank by total paid#9 of 47
Median peer was paid$37K
This provider vs. median14×
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 | 4,148 | $113K | |
| 2019 | 3,314 | $90K | |
| 2020 | 2,482 | $73K | |
| 2021 | 2,016 | $61K | |
| 2022 | 1,434 | $43K | |
| 2023 | 1,095 | $36K | |
| 2024incomplete | 353 | $86K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 59425 | 23% | 2,027 | 1,188 | $118K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 22% | 4,395 | 4,054 | $113K |
| G9012 | Other specified case management service not elsewhere classified | 16% | 255 | 179 | $80K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 16% | 1,358 | 1,353 | $79K |
| 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 | 7.7% | 1,005 | 957 | $39K |
| 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 | 3.7% | 270 | 269 | $19K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 3.0% | 772 | 740 | $15K |
| 76815 | Ultrasound, pregnant uterus, real time with image documentation, limited | 2.2% | 182 | 90 | $11K |
| H1003 | Prenatal care, at-risk enhanced service; education | 1.2% | 737 | 406 | $6K |
| 81002 | 1.1% | 2,675 | 1,637 | $6K | |
| 99205 | Prolong outpt/office vis | <1% | 15 | 15 | $5K |
| Z1034 | <1% | 86 | 38 | $5K |
11 more codes
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 25 | $3K |
| 99000 | <1% | 386 | $2K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 27 | $1K |
| 59430 | <1% | 13 | $1K | |
| 57454 | <1% | 13 | $1K | |
| 96127 | <1% | 32 | $243.02 | |
| 81025 | <1% | 89 | $234.40 | |
| 99072 | <1% | 84 | $195.00 | |
| G2012 | Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion | <1% | 17 | $141.93 |
| A4402 | Lubricant, per ounce | <1% | 361 | $105.99 |
| 96160 | <1% | 18 | $93.60 |
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, GELEN (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| Bridge Prenantal, PC | National City, CA | $9K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.