De LA Rosa, Efren
De LA Rosa, Efren was paid $20K by Medicaid between Jan 2018 and Dec 2018, across 5 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 59% of everything it billed.
33Billing provider infoDE LA ROSA, EFREN
EL PASO, TX 79912
EL PASO, TX 79912
33aNPI1295846731assigned 08/31/2006
33bProvider typePodiatrist
28Total paid$20K
24GClaims2,494
24DCodes billed5
24AFirst – last monthJan 2018 – Dec 2018
Compared with peers
Next to other Podiatrist providers in Texas
Rank by total paid#38 of 101
Median peer was paid$6K
This provider vs. median3.5×
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 | 2,494 | $20K |
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 | 59% | 1,159 | 970 | $12K |
| 11721 | 23% | 867 | 761 | $5K | |
| 11056 | 14% | 392 | 342 | $3K | |
| 93923 | 1.9% | 38 | 38 | $379.30 | |
| 93970 | 1.8% | 38 | 38 | $373.50 |
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.