James Todd Rose, M.D., P.A.
James Todd Rose, M.D., P.A. was paid $41K by Medicaid between Jan 2018 and Jul 2023, across 6 billing codes. Its largest line is 90960, End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits — 43% of everything it billed.
LUBBOCK, TX 79424
Next to other Nephrology Physician providers in Texas
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.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 1,335 | $11K | |
| 2019 | 394 | $6K | |
| 2020 | 1,022 | $12K | |
| 2021 | 479 | $7K | |
| 2022 | 216 | $3K | |
| 2023 | 36 | $2K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 90960 | End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits | 43% | 1,475 | 1,472 | $17K |
| 90961 | 21% | 387 | 381 | $9K | |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 16% | 1,045 | 189 | $7K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 15% | 408 | 174 | $6K |
| 99223 | Prolong inpt eval add15 m | 4.9% | 132 | 111 | $2K |
| 90935 | Hemodialysis procedure with single evaluation by a physician | <1% | 35 | 32 | $30.71 |
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.
Who's on the registration
| Provider | Location | Paid |
|---|---|---|
| Vna Care Network, INC. | Worcester, MA | $13.54M |
| Visiting Nurse Association of Boston | Weymouth, MA | $4.63M |
| Vna Care Hospice, INC. | Worcester, MA | $1.07M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.