Roofian, Claude
Roofian, Claude was paid $113K by Medicaid between Jan 2018 and May 2020, across 6 billing codes. Its largest line is 99233, hospital visit by a doctor, follow-up day (complex) — 54% of everything it billed.
33Billing provider infoROOFIAN, CLAUDE
LAS VEGAS, NV 89107
LAS VEGAS, NV 89107
33aNPI1598897761assigned 03/12/2007
33bProvider typeStudent in an Organized Health Care Education/Training Program
28Total paid$113K
24GClaims1,068
24DCodes billed6
24AFirst – last monthJan 2018 – May 2020
Compared with peers
Next to other Student in an Organized Health Care Education/Training Program providers in Nevada
Rank by total paid#11 of 61
Median peer was paid$20K
This provider vs. median5.8×
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 | 1,050 | $110K | |
| 2020 | 18 | $3K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 54% | 649 | 195 | $61K |
| 99223 | Prolong inpt eval add15 m | 26% | 157 | 155 | $29K |
| 99239 | Hospital discharge day management, more than 30 minutes | 14% | 160 | 155 | $16K |
| 99220 | 4.2% | 64 | 48 | $5K | |
| 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 | 1.9% | 20 | 18 | $2K |
| 99217 | <1% | 18 | 12 | $565.36 |
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.