Justiniano Rosario, Yesenia

Justiniano Rosario, Yesenia was paid $12K by Medicaid between Jan 2018 and Sep 2018, across 3 billing codes. Its largest line is 11042, Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm — 52% of everything it billed.

33Billing provider infoJUSTINIANO ROSARIO, YESENIA
ST AUGUSTINE, FL 32086

33aNPI1508002395assigned 12/28/2008

33bProvider typeGeneral Practice Physician

28Total paid$12K

24GClaims847

24DCodes billed3

24AFirst – last monthJan 2018 – Sep 2018

Compared with peers

Next to other General Practice Physician providers in Florida

Rank by total paid#238 of 420

Median peer was paid$23K

This provider vs. median0.5×

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	847	$12K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
11042	Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm	52%	250	131	$6K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	43%	566	240	$5K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	4.6%	31	30	$572.53

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.