Clinic
Guillermo I Rocha, MD, PA
Guillermo I Rocha, MD, PA was paid $31K by Medicaid between Jan 2018 and Aug 2022, across 11 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 91% of everything it billed.
33Billing provider infoGUILLERMO I ROCHA, MD, PA
SAN ANTONIO, TX 78214
SAN ANTONIO, TX 78214
33aNPI1508900622assigned 02/20/2007
33bProvider typeClinic/Center
28Total paid$31K
24GClaims3,347
24DCodes billed11
24AFirst – last monthJan 2018 – Aug 2022
Compared with peers
Next to other Clinic/Center providers in Texas
Rank by total paid#87 of 176
Median peer was paid$26K
This provider vs. median1.2×
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 | 653 | $4K | |
| 2019 | 791 | $5K | |
| 2020 | 1,040 | $8K | |
| 2021 | 616 | $9K | |
| 2022 | 247 | $4K |
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 | 91% | 1,160 | 1,008 | $28K |
| 99354 | 4.9% | 110 | 105 | $2K | |
| 99487 | Ccm add 20min | 3.4% | 244 | 244 | $1K |
| 99442 | <1% | 27 | 24 | $110.38 | |
| 99490 | Ccm add 20min | <1% | 26 | 26 | $81.38 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 1,290 | 1,131 | $0.00 |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 156 | 139 | $0.00 |
| 1160F | 0% | 232 | 189 | $0.00 | |
| G0444 | Annual depression screening, 5 to 15 minutes | 0% | 15 | 14 | $0.00 |
| G0442 | Annual alcohol misuse screening, 5 to 15 minutes | 0% | 26 | 26 | $0.00 |
| 99489 | Ccm add 20min | 0% | 61 | 61 | $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 officialROCHA, GUILLERMO (OWNER)