Otto Roza M.D., P.A.

Otto Roza M.D., P.A. was paid $403K by Medicaid between Jan 2018 and Nov 2024, across 12 billing codes. Its largest line is 90960, End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits — 46% of everything it billed.

33Billing provider infoOTTO ROZA M.D., P.A.
HAGERSTOWN, MD 21742

33aNPI1548256811assigned 09/22/2005

33bProvider typeNephrology Physician

28Total paid$403K

24GClaims11,254

24DCodes billed12

24AFirst – last monthJan 2018 – Nov 2024

Compared with peers

Next to other Nephrology Physician providers in Maryland

Rank by total paid#10 of 35

Median peer was paid$122K

This provider vs. median3.3×

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	1,351	$114K
2019	811	$50K
2020	926	$26K
2021	1,569	$40K
2022	2,402	$54K
2023	2,536	$65K
2024incomplete	1,659	$53K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
90960	End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits	46%	4,463	4,061	$185K
99232	Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity	22%	2,903	1,007	$87K
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	21%	2,082	1,850	$85K
99223	Prolong inpt eval add15 m	5.3%	436	388	$22K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	2.3%	364	335	$9K
G2211	Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established)	1.2%	78	74	$5K
90961		<1%	307	253	$4K
90935	Hemodialysis procedure with single evaluation by a physician	<1%	323	109	$3K
90966		<1%	122	100	$2K
99222	Initial hospital care, per day, moderate complexity	<1%	80	68	$1K
99231	Subsequent hospital care, per day, straightforward or low complexity	<1%	82	51	$1K
81001		<1%	14	13	$640.92

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 officialALLMAN, NANCY (OFFICE MANAGER)