Physician
Roque, Pedro
Roque, Pedro was paid $127K by Medicaid between Jan 2018 and Nov 2024, across 16 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 69% of everything it billed.
33Billing provider infoROQUE, PEDRO
BRENTWOOD, NY 11717
BRENTWOOD, NY 11717
33aNPI1275617987assigned 10/25/2006
33bProvider typeInternal Medicine Physician
28Total paid$127K
24GClaims5,001
24DCodes billed16
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Internal Medicine Physician providers in New York
Rank by total paid#1,117 of 6,049
Median peer was paid$11K
This provider vs. median11×
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 | 775 | $40K | |
| 2019 | 772 | $31K | |
| 2020 | 478 | $21K | |
| 2021 | 45 | $2K | |
| 2022 | 918 | $11K | |
| 2023 | 896 | $16K | |
| 2024incomplete | 1,117 | $7K |
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 | 69% | 1,997 | 1,877 | $88K |
| 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 | 31% | 894 | 872 | $39K |
| 36415 | Collection of venous blood by venipuncture | <1% | 141 | 129 | $43.54 |
| 1126F | 0% | 43 | 42 | $0.00 | |
| 3074F | 0% | 110 | 103 | $0.00 | |
| 3079F | 0% | 118 | 115 | $0.00 | |
| 1036F | 0% | 498 | 468 | $0.00 | |
| 82962 | 0% | 105 | 101 | $0.00 | |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 0% | 14 | 14 | $0.00 |
| 1125F | 0% | 12 | 12 | $0.00 | |
| 1159F | 0% | 450 | 426 | $0.00 | |
| 1160F | 0% | 450 | 426 | $0.00 |
4 more codes
| 3288F | 0% | 58 | $0.00 | |
| 3078F | 0% | 63 | $0.00 | |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | 0% | 29 | $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.