Raul Romea, M.D., INC.

Raul Romea, M.D., INC. was paid $53K by Medicaid between Jan 2018 and Aug 2018, across 3 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 65% of everything it billed.

33Billing provider infoRAUL ROMEA, M.D., INC.
ELK GROVE, CA 95758

33aNPI1689831638assigned 05/19/2008

33bProvider typeRheumatology Physician

28Total paid$53K

24GClaims1,216

24DCodes billed3

24AFirst – last monthJan 2018 – Aug 2018

Compared with peers

Next to other Rheumatology Physician providers in California

Rank by total paid#70 of 147

Median peer was paid$43K

This provider vs. median1.2×

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	1,216	$53K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
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	65%	720	694	$35K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	27%	430	420	$15K
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	7.9%	66	64	$4K

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 officialROMEA, RAUL (PRESIDENT)