Physician
Oropeza, Maria
Oropeza, Maria was paid $552K by Medicaid between Jan 2018 and Nov 2024, across 38 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 66% of everything it billed.
33Billing provider infoOROPEZA, MARIA
WEST NEW YORK, NJ 07093
WEST NEW YORK, NJ 07093
33aNPI1356586796assigned 12/15/2008
33bProvider typePediatrics Physician
28Total paid$552K
24GClaims20,234
24DCodes billed38
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Pediatrics Physician providers in New Jersey
Rank by total paid#171 of 549
Median peer was paid$154K
This provider vs. median3.6×
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 | 1,943 | $79K | |
| 2019 | 1,123 | $46K | |
| 2020 | 590 | $23K | |
| 2021 | 192 | $9K | |
| 2022 | 13 | $539.47 | |
| 2023 | 10,293 | $233K | |
| 2024incomplete | 6,080 | $162K |
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 | 66% | 8,629 | 7,077 | $367K |
| 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 | 15% | 1,459 | 1,310 | $84K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 3.9% | 521 | 468 | $21K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 3.2% | 1,110 | 975 | $18K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 2.0% | 194 | 171 | $11K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 1.7% | 185 | 171 | $10K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 1.6% | 890 | 761 | $9K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 1.5% | 187 | 166 | $9K |
| 99188 | 1.0% | 368 | 365 | $6K | |
| 92551 | <1% | 684 | 594 | $5K | |
| 92567 | <1% | 464 | 339 | $3K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 595 | 516 | $2K |
26 more codes
| 90461 | <1% | 301 | $2K | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 18 | $2K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 19 | $1K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 20 | $849.88 |
| 99173 | <1% | 815 | $815.20 | |
| 96127 | <1% | 434 | $702.81 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 209 | $389.54 |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 14 | $356.50 |
| 90686 | <1% | 232 | $355.32 | |
| 90716 | <1% | 16 | $170.00 | |
| 96160 | <1% | 27 | $66.89 | |
| 99000 | <1% | 107 | $4.76 | |
| 36416 | <1% | 18 | $1.98 | |
| 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) | <1% | 56 | $0.22 |
| 1450F | 0% | 122 | $0.00 | |
| 2018F | 0% | 486 | $0.00 | |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 277 | $0.00 |
| G9820 | Documentation of a chlamydia screening test with proper follow-up | 0% | 183 | $0.00 |
| 4019F | 0% | 56 | $0.00 | |
| 90707 | 0% | 13 | $0.00 | |
| 99072 | 0% | 81 | $0.00 | |
| 3008F | 0% | 642 | $0.00 | |
| 2030F | 0% | 509 | $0.00 | |
| 2001F | 0% | 107 | $0.00 | |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 169 | $0.00 |
| 97802 | 0% | 17 | $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.