Physician
Florimon De LA Rosa, Hector
Florimon De LA Rosa, Hector was paid $126K by Medicaid between Jan 2018 and Dec 2024, across 48 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 70% of everything it billed.
33Billing provider infoFLORIMON DE LA ROSA, HECTOR
CORONA, NY 11368
CORONA, NY 11368
33aNPI1649337858assigned 01/03/2007
33bProvider typePediatrics Physician
28Total paid$126K
24GClaims14,308
24DCodes billed48
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in New York
Rank by total paid#665 of 1,983
Median peer was paid$17K
This provider vs. median7.4×
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 | 1,993 | $19K | |
| 2019 | 2,584 | $27K | |
| 2020 | 4,271 | $24K | |
| 2021 | 3,658 | $12K | |
| 2022 | 400 | $7K | |
| 2023 | 969 | $19K | |
| 2024incomplete | 433 | $17K |
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% | 2,041 | 1,810 | $89K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 15% | 708 | 696 | $19K |
| 99441 | 2.7% | 209 | 196 | $3K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 2.5% | 163 | 143 | $3K |
| 92587 | 2.2% | 399 | 397 | $3K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 1.8% | 163 | 162 | $2K |
| 99401 | 1.3% | 1,203 | 1,147 | $2K | |
| 0001A | 1.2% | 40 | 37 | $2K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 138 | 137 | $1K |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | <1% | 353 | 352 | $671.86 |
| 0002A | <1% | 13 | 13 | $520.00 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 24 | 24 | $281.37 |
36 more codes
| 36415 | Collection of venous blood by venipuncture | <1% | 523 | $167.31 |
| 90461 | <1% | 32 | $135.70 | |
| 99443 | <1% | 26 | $130.08 | |
| 99442 | <1% | 45 | $113.72 | |
| 81002 | <1% | 256 | $110.68 | |
| 85018 | <1% | 44 | $95.79 | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 30 | $79.07 |
| 99173 | <1% | 414 | $56.68 | |
| H0001 | Alcohol and/or drug assessment | <1% | 129 | $40.07 |
| 96127 | <1% | 55 | $32.97 | |
| 87110 | <1% | 70 | $0.69 | |
| A4206 | Syringe with needle, sterile, 1 cc or less, each | <1% | 206 | $0.57 |
| 97802 | <1% | 215 | $0.14 | |
| G0444 | Annual depression screening, 5 to 15 minutes | <1% | 13 | $0.13 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 915 | $0.00 |
| A6413 | Adhesive bandage, first-aid type, any size, each | 0% | 354 | $0.00 |
| 3016F | 0% | 129 | $0.00 | |
| 3725F | 0% | 154 | $0.00 | |
| G9622 | Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method | 0% | 129 | $0.00 |
| G9820 | Documentation of a chlamydia screening test with proper follow-up | 0% | 72 | $0.00 |
| 1159F | 0% | 15 | $0.00 | |
| 90734 | 0% | 12 | $0.00 | |
| 2010F | 0% | 833 | $0.00 | |
| 3008F | 0% | 1,737 | $0.00 | |
| A4930 | Gloves, sterile, per pair | 0% | 847 | $0.00 |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 137 | $0.00 |
| 99000 | 0% | 716 | $0.00 | |
| 3351F | 0% | 50 | $0.00 | |
| 1030F | 0% | 108 | $0.00 | |
| 3048F | 0% | 80 | $0.00 | |
| 1000F | 0% | 129 | $0.00 | |
| 1036F | 0% | 129 | $0.00 | |
| 4037F | 0% | 108 | $0.00 | |
| 1220F | 0% | 54 | $0.00 | |
| 90686 | 0% | 71 | $0.00 | |
| 90651 | 0% | 17 | $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.