Physician
Rocco, Carmen
Rocco, Carmen was paid $232K by Medicaid between Jul 2021 and Dec 2024, across 33 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 48% of everything it billed.
33Billing provider infoROCCO, CARMEN
BROWNSVILLE, TX 78521
BROWNSVILLE, TX 78521
33aNPI1639258353assigned 11/03/2006
33bProvider typePediatrics Physician
28Total paid$232K
24GClaims9,185
24DCodes billed33
24AFirst – last monthJul 2021 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Texas
Rank by total paid#622 of 1,136
Median peer was paid$329K
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 | |
|---|---|---|---|
| 2021 | 99 | $1K | |
| 2022 | 1,620 | $37K | |
| 2023 | 6,103 | $148K | |
| 2024incomplete | 1,363 | $45K |
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 | 48% | 2,266 | 1,793 | $112K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 10% | 541 | 505 | $24K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 10% | 1,699 | 805 | $24K |
| 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 | 10% | 273 | 261 | $23K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 4.0% | 111 | 111 | $9K |
| G9716 | Bmi is documented as being outside of normal parameters, follow-up plan is not completed for documented medical reason | 3.0% | 432 | 430 | $7K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 2.9% | 470 | 226 | $7K |
| S8301 | Infection control supplies, not otherwise specified | 2.1% | 273 | 258 | $5K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 2.0% | 336 | 314 | $5K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.5% | 93 | 90 | $3K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 1.2% | 31 | 30 | $3K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 243 | 223 | $2K |
21 more codes
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 19 | $1K |
| 81002 | <1% | 388 | $1K | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 13 | $959.11 |
| 99050 | <1% | 46 | $687.24 | |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 101 | $625.56 |
| 99429 | <1% | 19 | $608.04 | |
| 92552 | <1% | 156 | $589.64 | |
| 97169 | <1% | 12 | $500.00 | |
| 96160 | <1% | 870 | $470.48 | |
| 99000 | <1% | 30 | $311.04 | |
| 87807 | <1% | 29 | $306.90 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 15 | $249.99 |
| 86580 | <1% | 12 | $89.13 | |
| S9441 | Asthma education, non-physician provider, per session | <1% | 14 | $62.00 |
| 90461 | <1% | 25 | $40.26 | |
| 90686 | <1% | 27 | $0.27 | |
| 99173 | 0% | 87 | $0.00 | |
| 99051 | 0% | 53 | $0.00 | |
| 3008F | 0% | 315 | $0.00 | |
| 3074F | 0% | 149 | $0.00 | |
| 2000F | 0% | 37 | $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.