Physician
Rouel Enterprises INC.
Rouel Enterprises INC. was paid $55K by Medicaid between Jan 2018 and Nov 2024, across 22 billing codes. Its largest line is 99442, — 41% of everything it billed.
33Billing provider infoROUEL ENTERPRISES INC.
EL CAJON, CA 92019
EL CAJON, CA 92019
33aNPI1629453808assigned 07/29/2015
33bProvider typeInternal Medicine Physician
28Total paid$55K
24GClaims17,815
24DCodes billed22
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Internal Medicine Physician providers in California
Rank by total paid#827 of 2,679
Median peer was paid$13K
This provider vs. median4.3×
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 | 2,169 | $12K | |
| 2019 | 2,584 | $4K | |
| 2020 | 3,074 | $10K | |
| 2021 | 2,975 | $10K | |
| 2022 | 2,780 | $10K | |
| 2023 | 2,651 | $8K | |
| 2024incomplete | 1,582 | $1K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99442 | 41% | 1,708 | 1,519 | $22K | |
| 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 | 32% | 6,025 | 5,635 | $17K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 11% | 5,254 | 4,818 | $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 | 5.1% | 558 | 557 | $3K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 4.7% | 164 | 163 | $3K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 1.9% | 359 | 358 | $1K |
| 99385 | 1.8% | 157 | 157 | $1K | |
| 90756 | 1.1% | 28 | 28 | $599.02 | |
| G0181 | Physician or allowed practitioner supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and multidisciplinary care modalities involving regular physician or allowed practitioner development and/or revision of care plans | <1% | 24 | 24 | $430.16 |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | <1% | 115 | 115 | $428.79 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 30 | 30 | $161.57 |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 561 | 561 | $118.15 |
10 more codes
| 99406 | <1% | 27 | $72.87 | |
| 99386 | <1% | 89 | $51.00 | |
| 81003 | <1% | 12 | $13.58 | |
| 96160 | <1% | 952 | $3.70 | |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | 0% | 254 | $0.00 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 0% | 27 | $0.00 |
| 1220F | 0% | 1,232 | $0.00 | |
| G0442 | Annual alcohol misuse screening, 5 to 15 minutes | 0% | 161 | $0.00 |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 65 | $0.00 |
| 90694 | 0% | 13 | $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.
From NPPES
Who's on the registration
Authorized officialROUEL, LINDA (MD)