Roca, Javier
Roca, Javier was paid $171K by Medicaid between Jan 2018 and Nov 2024, across 14 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 70% of everything it billed.
33Billing provider infoROCA, JAVIER
FRESH MEADOWS, NY 11366
FRESH MEADOWS, NY 11366
33aNPI1609958313assigned 10/20/2006
33bProvider typeSpecialist
28Total paid$171K
24GClaims13,612
24DCodes billed14
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Specialist providers in New York
Rank by total paid#400 of 1,221
Median peer was paid$45K
This provider vs. median3.8×
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 | 1,723 | $9K | |
| 2019 | 2,497 | $22K | |
| 2020 | 1,320 | $17K | |
| 2021 | 2,406 | $34K | |
| 2022 | 2,489 | $33K | |
| 2023 | 2,121 | $30K | |
| 2024incomplete | 1,056 | $26K |
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 | 70% | 5,711 | 4,958 | $119K |
| 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 | 12% | 723 | 493 | $21K |
| 96365 | Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour | 5.3% | 413 | 177 | $9K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 3.4% | 5,089 | 3,623 | $6K |
| 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 | 2.8% | 73 | 73 | $5K |
| 96413 | Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance | 2.3% | 104 | 54 | $4K |
| J1756 | Injection, iron sucrose, 1 mg | 1.6% | 144 | 55 | $3K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 1.2% | 549 | 353 | $2K |
| J0885 | Injection, epoetin alfa, (for non-esrd use), 1000 units | <1% | 23 | 12 | $1K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 41 | 39 | $457.78 |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | <1% | 39 | 26 | $451.32 |
| 96367 | <1% | 32 | 17 | $301.55 |
2 more codes
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.