Physician
OIG excluded
Delrosario, Antonio
Delrosario, Antonio was paid $108K by Medicaid between Jan 2018 and Dec 2020, across 7 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 60% of everything it billed.
33Billing provider infoDELROSARIO, ANTONIO
REYNOLDSBURG, OH 43068
REYNOLDSBURG, OH 43068
33aNPI1497733422assigned 01/09/2006
33bProvider typeGeriatric Medicine (Family Medicine) Physician
28Total paid$108K
24GClaims2,050
24DCodes billed7
24AFirst – last monthJan 2018 – Dec 2020
Compared with peers
Next to other Geriatric Medicine (Family Medicine) Physician providers in Ohio
Rank by total paid#9 of 21
Median peer was paid$51K
This provider vs. median2.1×
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
OIG exclusionListed on the federal exclusion list (05/19/2022).
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 | 942 | $51K | |
| 2019 | 655 | $35K | |
| 2020 | 453 | $22K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 60% | 1,098 | 1,014 | $65K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 33% | 446 | 408 | $36K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 2.7% | 121 | 87 | $3K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 2.0% | 303 | 291 | $2K |
| 99350 | Prolong home eval add 15m | 1.1% | 54 | 48 | $1K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 15 | 13 | $754.25 |
| 90658 | 0% | 13 | 12 | $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.