Rosemond, Philomene

Rosemond, Philomene was paid $265K by Medicaid between Dec 2020 and Nov 2024, across 38 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 47% of everything it billed.

33Billing provider infoROSEMOND, PHILOMENE
BRONX, NY 10453

33aNPI1609125749assigned 09/05/2012

33bProvider typeFamily Nurse Practitioner

28Total paid$265K

24GClaims11,580

24DCodes billed38

24AFirst – last monthDec 2020 – Nov 2024

Compared with peers

Next to other Family Nurse Practitioner providers in New York

Rank by total paid#39 of 1,582

Median peer was paid$2K

This provider vs. median115×

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
2020	112	$1K
2021	4,006	$55K
2022	3,245	$68K
2023	1,998	$73K
2024incomplete	2,219	$68K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	47%	3,231	2,859	$124K
99442		27%	1,685	1,575	$71K
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	18%	880	839	$48K
99490	Ccm add 20min	2.1%	458	456	$5K
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	1.4%	43	42	$4K
99443		1.3%	61	60	$3K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	<1%	109	106	$3K
99395	Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years	<1%	40	39	$2K
99396	Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years	<1%	36	36	$2K
93000		<1%	69	69	$800.45
98960		<1%	60	60	$703.50
G8542	Functional outcome assessment using a standardized tool is documented; no functional deficiencies identified, care plan not required	<1%	394	352	$385.09

26 more codes

G8420	Bmi is documented within normal parameters and no follow-up plan is required	<1%	385	$270.00
G8417	Bmi is documented above normal parameters and a follow-up plan is documented	<1%	327	$185.00
99401		<1%	23	$184.40
1036F		<1%	93	$180.00
0011A		<1%	15	$161.96
3074F		<1%	166	$160.24
A4556	Electrodes, (e.g., apnea monitor), per pair	<1%	65	$156.26
3078F		<1%	191	$155.40
90756		<1%	15	$85.11
3079F		<1%	142	$66.14
3075F		<1%	50	$48.76
3077F		<1%	89	$41.89
3017F		<1%	13	$40.00
G8482	Influenza immunization administered or previously received	<1%	19	$35.00
3080F		<1%	16	$16.96
G8427	Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications	<1%	1,044	$11.00
1101F		<1%	13	$10.00
G9903	Patient screened for tobacco use and identified as a tobacco non-user	<1%	947	$5.00
G8950	Elevated or hypertensive blood pressure reading documented, and the indicated follow-up is documented	<1%	126	$1.80
G9902	Patient screened for tobacco use and identified as a tobacco user	<1%	105	$1.00
G8783	Normal blood pressure reading documented, follow-up not required	<1%	521	$1.00
G9906	Patient identified as a tobacco user received tobacco cessation intervention during the measurement period or in the six months prior to the measurement period (counseling and/or pharmacotherapy)	0%	59	$0.00
91301		0%	26	$0.00
36415	Collection of venous blood by venipuncture	0%	14	$0.00
G8422	Bmi not documented, documentation the patient is not eligible for bmi calculation	0%	35	$0.00
G8754	Most recent diastolic blood pressure < 90 mmhg	0%	15	$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.