Physician
Arias, Roque
Arias, Roque was paid $145K by Medicaid between Jan 2018 and Dec 2024, across 15 billing codes. Its largest line is 99199, Unlisted special service, procedure or report — 66% of everything it billed.
33Billing provider infoARIAS, ROQUE
EAST BEND, NC 27018
EAST BEND, NC 27018
33aNPI1376595199assigned 05/17/2006
33bProvider typeGeneral Practice Physician
28Total paid$145K
24GClaims27,497
24DCodes billed15
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other General Practice Physician providers in North Carolina
Rank by total paid#29 of 51
Median peer was paid$205K
This provider vs. median0.7×
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 | 2,073 | $15K | |
| 2019 | 1,569 | $17K | |
| 2020 | 838 | $6K | |
| 2021 | 4,872 | $27K | |
| 2022 | 6,722 | $21K | |
| 2023 | 4,782 | $15K | |
| 2024incomplete | 6,641 | $43K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99199 | Unlisted special service, procedure or report | 66% | 19,598 | 15,906 | $96K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 28% | 850 | 730 | $41K |
| 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 | 3.3% | 95 | 81 | $5K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 1.4% | 179 | 126 | $2K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 13 | 12 | $623.36 |
| 36415 | Collection of venous blood by venipuncture | <1% | 234 | 208 | $382.76 |
| 92552 | <1% | 179 | 166 | $64.71 | |
| 99173 | <1% | 270 | 217 | $1.05 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | <1% | 3,230 | 2,343 | $0.27 |
| 1036F | 0% | 177 | 153 | $0.00 | |
| 3008F | 0% | 2,544 | 1,794 | $0.00 | |
| 90688 | 0% | 26 | 26 | $0.00 |
3 more codes
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.