Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Semeco Rojas, Cristina

Semeco Rojas, Cristina was paid $3K by Medicaid between Feb 2018 and Sep 2020, across 3 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 60% of everything it billed.

33Billing provider infoSEMECO ROJAS, CRISTINA
ALCOA, TN 37701
33aNPI1275793341assigned 06/12/2008
28Total paid$3K
24GClaims172
24DCodes billed3
24AFirst – last monthFeb 2018 – Sep 2020
Compared with peers

Next to other Internal Medicine Physician providers in Tennessee

Rank by total paid#432 of 581
Median peer was paid$15K
This provider vs. median0.2×

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

$0$500$1.0K2018201920202021202220232024
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
YearClaimsPaid
201871$2K
201956$678.39
202045$694.07
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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 60% 89 84 $2K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 37% 56 49 $1K
90686 3.2% 27 24 $95.13

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.