Physician
De LA Rosa, Rita
De LA Rosa, Rita was paid $1.10M by Medicaid between Jan 2018 and Jan 2024, across 25 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 63% of everything it billed.
33Billing provider infoDE LA ROSA, RITA
JERSEY CITY, NJ 07306
JERSEY CITY, NJ 07306
33aNPI1467532283assigned 10/16/2006
33bProvider typePediatrics Physician
28Total paid$1.10M
24GClaims33,519
24DCodes billed25
24AFirst – last monthJan 2018 – Jan 2024
Compared with peers
Next to other Pediatrics Physician providers in New Jersey
Rank by total paid#116 of 549
Median peer was paid$154K
This provider vs. median7.1×
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 | 5,201 | $181K | |
| 2019 | 5,604 | $211K | |
| 2020 | 5,073 | $157K | |
| 2021 | 5,469 | $175K | |
| 2022 | 6,458 | $191K | |
| 2023 | 5,529 | $175K | |
| 2024incomplete | 185 | $5K |
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 | 63% | 16,798 | 14,274 | $695K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 8.3% | 1,695 | 1,672 | $91K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 6.8% | 1,357 | 1,347 | $75K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 5.7% | 3,148 | 3,115 | $63K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 5.3% | 1,131 | 1,119 | $58K |
| 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 | 3.8% | 1,411 | 1,253 | $42K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 2.3% | 1,767 | 1,746 | $25K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 1.5% | 320 | 309 | $17K |
| 90461 | 1.1% | 679 | 675 | $12K | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 591 | 582 | $7K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 73 | 72 | $4K |
| 90686 | <1% | 565 | 561 | $2K |
13 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.