Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

ROZO, ALBERTO

NPI: 1295796464 · JACKSON HEIGHTS, NY 11372 · Internal Medicine Physician · NPI assigned 03/29/2006

$388K
Total Medicaid Paid
28,783
Total Claims
25,823
Beneficiaries
49
Codes Billed
2018-01
First Month
2024-11
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal 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
2024 1,680 $40K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 15,947 13,232 $336K
93000 2,870 2,824 $21K
99490 Ccm add 20min 2,068 2,058 $12K
99397 137 130 $7K
94010 264 257 $4K
76775 84 77 $2K
99439 669 655 $1K
99441 176 151 $1K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 49 46 $586.80
90688 139 123 $550.90
99454 102 86 $531.86
G0008 Administration of influenza virus vaccine 110 109 $483.60
36415 Collection of venous blood by venipuncture 227 220 $270.33
99457 102 86 $251.18
99453 18 18 $218.04
90756 18 17 $205.11
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 21 21 $194.35
G0444 Annual depression screening, 5 to 15 minutes 219 215 $106.38
96127 406 402 $93.56
1170F 198 195 $61.37
1160F 246 242 $50.16
3044F 477 475 $45.09
1159F 223 220 $30.85
3725F 800 790 $26.23
G8510 Screening for depression is documented as negative, a follow-up plan is not required 595 589 $25.00
1000F 717 714 $20.00
1036F 664 662 $10.03
3078F 53 52 $7.74
3288F 26 26 $2.91
1090F 26 26 $1.15
1124F 62 61 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 143 143 $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) 14 12 $0.00
G8752 Most recent systolic blood pressure < 140 mmhg 47 45 $0.00
3015F 41 41 $0.00
G8731 Pain assessment using a standardized tool is documented as negative, no follow-up plan required 14 14 $0.00
4004F 20 20 $0.00
3077F 14 14 $0.00
3017F 112 111 $0.00
1126F 20 19 $0.00
99429 343 326 $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)). 67 67 $0.00
3014F 64 63 $0.00
3074F 31 31 $0.00
3048F 44 44 $0.00
3075F 15 15 $0.00
G8754 Most recent diastolic blood pressure < 90 mmhg 51 49 $0.00
3079F 18 18 $0.00
4010F 12 12 $0.00