Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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NP / PA

Romualdez, Caroline Emily

Romualdez, Caroline Emily was paid $58K by Medicaid between Feb 2018 and Oct 2018, across 19 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 77% of everything it billed.

33Billing provider infoROMUALDEZ, CAROLINE EMILY
LAS VEGAS, NV 89102
33aNPI1477094316assigned 03/11/2017
28Total paid$58K
24GClaims1,899
24DCodes billed19
24AFirst – last monthFeb 2018 – Oct 2018
Compared with peers

Next to other Family Nurse Practitioner providers in Nevada

Rank by total paid#53 of 220
Median peer was paid$8K
This provider vs. median7.3×

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

$0$5.0K$10K$15K2018201920202021202220232024
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
YearClaimsPaid
20181,899$58K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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 77% 846 786 $45K
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 7.6% 87 87 $4K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 5.6% 91 91 $3K
93923 2.3% 16 16 $1K
93000 2.1% 134 132 $1K
G0444 Annual depression screening, 5 to 15 minutes 1.8% 110 109 $1K
G0446 Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes 1.6% 85 85 $906.30
94010 <1% 15 14 $322.05
G0442 Annual alcohol misuse screening, 5 to 15 minutes <1% 30 30 $258.87
81002 <1% 106 101 $246.04
99406 <1% 12 12 $117.24
81025 <1% 13 13 $67.97
7 more codes
82948 <1% 14 $30.69
G8755 Most recent diastolic blood pressure >= 90 mmhg 0% 79 $0.00
G9226 Foot examination performed (includes examination through visual inspection, sensory exam with 10-g monofilament plus testing any one of the following: vibration using 128-hz tuning fork, pinprick sensation, ankle reflexes, or vibration perception threshold, and pulse exam; report when all of the 3 components are completed) 0% 13 $0.00
G8754 Most recent diastolic blood pressure < 90 mmhg 0% 38 $0.00
G8753 Most recent systolic blood pressure >= 140 mmhg 0% 119 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 0% 43 $0.00
99497 0% 48 $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.