Roque, Henry

Roque, Henry was paid $72K by Medicaid between Jan 2018 and May 2018, across 10 billing codes. Its largest line is 76816, Ultrasound, pregnant uterus, real time with image documentation, follow-up — 21% of everything it billed.

33Billing provider infoROQUE, HENRY
PENSACOLA, FL 32504

33aNPI1578560991assigned 06/30/2005

33bProvider typeMaternal & Fetal Medicine Physician

28Total paid$72K

24GClaims1,303

24DCodes billed10

24AFirst – last monthJan 2018 – May 2018

Compared with peers

Next to other Maternal & Fetal Medicine Physician providers in Florida

Rank by total paid#40 of 66

Median peer was paid$97K

This provider vs. median0.7×

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	1,303	$72K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
76816	Ultrasound, pregnant uterus, real time with image documentation, follow-up	21%	318	106	$15K
76811	Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed	16%	156	79	$12K
76819	Fetal biophysical profile; without non-stress testing	15%	291	82	$11K
76805	Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation	15%	178	70	$11K
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	8.3%	95	74	$6K
99215	Doctor's office visit, returning patient (complex)Prolong outpt/office vis	7.4%	61	47	$5K
76801		5.9%	82	42	$4K
76813		5.7%	81	42	$4K
99204	Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity	4.0%	28	28	$3K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	<1%	13	13	$584.29

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.