Rosales, Manuel

Rosales, Manuel was paid $16K by Medicaid between Jan 2018 and Mar 2023, across 3 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 98% of everything it billed.

33Billing provider infoROSALES, MANUEL
LAKE RONKONKOMA, NY 11779

33aNPI1487656740assigned 06/01/2005

33bProvider typeFamily Medicine Physician

28Total paid$16K

24GClaims939

24DCodes billed3

24AFirst – last monthJan 2018 – Mar 2023

Compared with peers

Next to other Family Medicine Physician providers in New York

Rank by total paid#1,141 of 2,605

Median peer was paid$10K

This provider vs. median1.6×

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	217	$3K
2019	183	$3K
2020	143	$2K
2021	158	$3K
2022	190	$4K
2023	48	$1K

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	98%	553	514	$16K
81002		1.2%	198	193	$195.77
36415	Collection of venous blood by venipuncture	<1%	188	185	$141.25

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.