Romero, Sylvia
Romero, Sylvia was paid $191K by Medicaid between Jun 2019 and Jul 2023, across 27 billing codes. Its largest line is 99349, — 35% of everything it billed.
33Billing provider infoROMERO, SYLVIA
BRONX, NY 10453
BRONX, NY 10453
33aNPI1407310139assigned 01/28/2019
33bProvider typeHome Health Registered Nurse
28Total paid$191K
24GClaims8,979
24DCodes billed27
24AFirst – last monthJun 2019 – Jul 2023
Compared with peers
Next to other Home Health Registered Nurse providers in New York
Rank by total paid#6 of 18
Median peer was paid$17K
This provider vs. median11×
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 | |
|---|---|---|---|
| 2019 | 1,895 | $17K | |
| 2020 | 3,101 | $75K | |
| 2021 | 1,305 | $35K | |
| 2022 | 1,650 | $41K | |
| 2023 | 1,028 | $23K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99349 | 35% | 1,708 | 1,507 | $67K | |
| 99442 | 23% | 1,851 | 1,604 | $44K | |
| 99348 | 18% | 1,254 | 982 | $34K | |
| 99350 | Prolong home eval add 15m | 5.5% | 215 | 204 | $11K |
| 99490 | Ccm add 20min | 5.1% | 1,013 | 1,011 | $10K |
| 99443 | 4.9% | 267 | 252 | $9K | |
| 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 | 2.8% | 100 | 92 | $5K |
| 99344 | 1.8% | 30 | 30 | $3K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 1.4% | 60 | 57 | $3K |
| 99343 | 1.1% | 31 | 31 | $2K | |
| 99347 | 1.0% | 137 | 120 | $2K | |
| 99497 | <1% | 18 | 18 | $325.87 |
15 more codes
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | <1% | 21 | $269.10 |
| 90756 | <1% | 15 | $79.98 | |
| 1170F | <1% | 25 | $4.25 | |
| 1126F | <1% | 688 | $4.25 | |
| 1159F | <1% | 25 | $4.25 | |
| 1125F | 0% | 26 | $0.00 | |
| 3075F | 0% | 148 | $0.00 | |
| 3074F | 0% | 344 | $0.00 | |
| 3079F | 0% | 203 | $0.00 | |
| 3080F | 0% | 109 | $0.00 | |
| 1157F | 0% | 25 | $0.00 | |
| 3077F | 0% | 240 | $0.00 | |
| 3078F | 0% | 396 | $0.00 | |
| 1160F | 0% | 17 | $0.00 | |
| 3725F | 0% | 13 | $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.