Physician
Rozo, Alberto
Rozo, Alberto was paid $388K by Medicaid between Jan 2018 and Nov 2024, across 49 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 87% of everything it billed.
33Billing provider infoROZO, ALBERTO
JACKSON HEIGHTS, NY 11372
JACKSON HEIGHTS, NY 11372
33aNPI1295796464assigned 03/29/2006
33bProvider typeInternal Medicine Physician
28Total paid$388K
24GClaims28,783
24DCodes billed49
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Internal Medicine Physician providers in New York
Rank by total paid#566 of 6,049
Median peer was paid$11K
This provider vs. median34×
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 | 4,304 | $38K | |
| 2019 | 5,388 | $65K | |
| 2020 | 5,092 | $59K | |
| 2021 | 3,877 | $51K | |
| 2022 | 4,342 | $66K | |
| 2023 | 4,100 | $69K | |
| 2024incomplete | 1,680 | $40K |
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 | 87% | 15,947 | 13,232 | $336K |
| 93000 | 5.4% | 2,870 | 2,824 | $21K | |
| 99490 | Ccm add 20min | 3.1% | 2,068 | 2,058 | $12K |
| 99397 | 1.7% | 137 | 130 | $7K | |
| 94010 | 1.1% | 264 | 257 | $4K | |
| 76775 | <1% | 84 | 77 | $2K | |
| 99439 | <1% | 669 | 655 | $1K | |
| 99441 | <1% | 176 | 151 | $1K | |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | <1% | 49 | 46 | $586.80 |
| 90688 | <1% | 139 | 123 | $550.90 | |
| 99454 | <1% | 102 | 86 | $531.86 | |
| G0008 | Administration of influenza virus vaccine | <1% | 110 | 109 | $483.60 |
37 more codes
| 36415 | Collection of venous blood by venipuncture | <1% | 227 | $270.33 |
| 99457 | <1% | 102 | $251.18 | |
| 99453 | <1% | 18 | $218.04 | |
| 90756 | <1% | 18 | $205.11 | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 21 | $194.35 |
| G0444 | Annual depression screening, 5 to 15 minutes | <1% | 219 | $106.38 |
| 96127 | <1% | 406 | $93.56 | |
| 1170F | <1% | 198 | $61.37 | |
| 1160F | <1% | 246 | $50.16 | |
| 3044F | <1% | 477 | $45.09 | |
| 1159F | <1% | 223 | $30.85 | |
| 3725F | <1% | 800 | $26.23 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 595 | $25.00 |
| 1000F | <1% | 717 | $20.00 | |
| 1036F | <1% | 664 | $10.03 | |
| 3078F | <1% | 53 | $7.74 | |
| 3288F | <1% | 26 | $2.91 | |
| 1090F | <1% | 26 | $1.15 | |
| 1124F | 0% | 62 | $0.00 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 143 | $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% | 14 | $0.00 |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 0% | 47 | $0.00 |
| 3015F | 0% | 41 | $0.00 | |
| G8731 | Pain assessment using a standardized tool is documented as negative, no follow-up plan required | 0% | 14 | $0.00 |
| 4004F | 0% | 20 | $0.00 | |
| 3077F | 0% | 14 | $0.00 | |
| 3017F | 0% | 112 | $0.00 | |
| 1126F | 0% | 20 | $0.00 | |
| 99429 | 0% | 343 | $0.00 | |
| G2058 | Chronic care management services, each additional 20 minutes of clinical staff time directed by a physician or other qualified health care professional, per calendar month (list separately in addition to code for primary procedure). (do not report g2058 for care management services of less than 20 minutes additional to the first 20 minutes of chronic care management services during a calendar month). (use g2058 in conjunction with 99490). (do not report 99490, g2058 in the same calendar month as 99487, 99489, 99491)). | 0% | 67 | $0.00 |
| 3014F | 0% | 64 | $0.00 | |
| 3074F | 0% | 31 | $0.00 | |
| 3048F | 0% | 44 | $0.00 | |
| 3075F | 0% | 15 | $0.00 | |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 51 | $0.00 |
| 3079F | 0% | 18 | $0.00 | |
| 4010F | 0% | 12 | $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.