Physician
Rocas, INC.
Rocas, INC. was paid $6.66M by Medicaid between Jan 2018 and Dec 2024, across 53 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 30% of everything it billed.
33Billing provider infoROCAS, INC.
ANTHONY, NM 88021
ANTHONY, NM 88021
33aNPI1497805618assigned 01/11/2007
33bProvider typePediatrics Physician
28Total paid$6.66M
24GClaims162,427
24DCodes billed53
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in New Mexico
Rank by total paid#7 of 53
Median peer was paid$535K
This provider vs. median12×
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 | 22,777 | $729K | |
| 2019 | 21,126 | $874K | |
| 2020 | 18,141 | $696K | |
| 2021 | 23,232 | $885K | |
| 2022 | 26,597 | $1.09M | |
| 2023 | 28,459 | $1.23M | |
| 2024incomplete | 22,095 | $1.16M |
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 | 30% | 30,526 | 28,322 | $2.02M |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 10% | 6,705 | 6,664 | $694K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 9.5% | 6,095 | 6,070 | $634K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 8.5% | 5,431 | 5,405 | $565K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 8.2% | 5,334 | 5,035 | $548K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 7.0% | 17,631 | 15,502 | $467K |
| 90461 | 6.6% | 15,014 | 8,836 | $437K | |
| 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 | 5.9% | 3,930 | 3,829 | $394K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 4.0% | 5,620 | 5,453 | $269K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 2.2% | 9,304 | 8,949 | $147K |
| 87428 | 1.7% | 1,623 | 1,605 | $116K | |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | 1.4% | 2,937 | 2,929 | $91K |
41 more codes
| 92015 | Determination of refractive state | <1% | 7,798 | $55K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 350 | $37K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 1,922 | $32K |
| S9999 | Sales tax | <1% | 4,028 | $27K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 1,614 | $26K |
| 83655 | <1% | 1,568 | $20K | |
| 99080 | <1% | 3,940 | $20K | |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 273 | $18K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 836 | $14K |
| 99381 | <1% | 65 | $10K | |
| 99401 | <1% | 271 | $7K | |
| 85018 | <1% | 1,778 | $4K | |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 14 | $2K |
| 81002 | <1% | 451 | $1K | |
| 96380 | <1% | 26 | $568.38 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 26 | $436.03 |
| 90710 | <1% | 792 | $183.14 | |
| 90715 | <1% | 1,297 | $123.12 | |
| 90723 | <1% | 1,460 | $107.93 | |
| 90686 | <1% | 2,355 | $44.77 | |
| 90633 | <1% | 1,817 | $32.69 | |
| 90697 | <1% | 268 | $30.55 | |
| 90647 | <1% | 3,448 | $22.91 | |
| 90670 | <1% | 2,854 | $20.77 | |
| 90700 | <1% | 1,366 | $17.19 | |
| 90651 | <1% | 3,332 | $7.88 | |
| 90680 | <1% | 2,272 | $3.59 | |
| 90734 | <1% | 1,931 | $3.06 | |
| 90620 | <1% | 1,549 | $2.73 | |
| 90716 | <1% | 296 | $1.02 | |
| 90696 | <1% | 546 | $0.99 | |
| 90707 | <1% | 174 | $0.71 | |
| 90713 | <1% | 290 | $0.35 | |
| 90698 | 0% | 12 | $0.00 | |
| 90677 | 0% | 530 | $0.00 | |
| 90656 | 0% | 109 | $0.00 | |
| 90660 | 0% | 35 | $0.00 | |
| 90381 | 0% | 12 | $0.00 | |
| 90671 | 0% | 332 | $0.00 | |
| 90672 | 0% | 228 | $0.00 | |
| 90380 | 0% | 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.
From NPPES
Who's on the registration
Authorized officialOCARANZA, HECTOR (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| Northeast Pediatric Night Clinic, P.A. | El Paso, TX | $380K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.