Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › TX › The Woodlands › NPI 1346386349
Physician

Rojas, Raul

Rojas, Raul was paid $233K by Medicaid between Sep 2020 and Dec 2024, across 8 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 59% of everything it billed.

33Billing provider infoROJAS, RAUL
THE WOODLANDS, TX 77380
33aNPI1346386349assigned 01/29/2007
28Total paid$233K
24GClaims9,546
24DCodes billed8
24AFirst – last monthSep 2020 – Dec 2024
Compared with peers

Next to other Obstetrics & Gynecology Physician providers in Texas

Rank by total paid#158 of 432
Median peer was paid$103K
This provider vs. median2.3×

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$5.0K$10K$15K2018201920202021202220232024
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
2020507$11K
20212,199$51K
20222,218$53K
20232,582$66K
2024incomplete2,040$53K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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% 4,083 1,937 $138K
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 19% 974 796 $44K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 9.8% 359 341 $23K
59409 Vaginal delivery only (with or without episiotomy and/or forceps) 6.8% 25 25 $16K
81002 4.8% 4,052 1,764 $11K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years <1% 21 13 $719.41
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% 16 13 $243.41
G8510 Screening for depression is documented as negative, a follow-up plan is not required 0% 16 16 $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.