Agency
Roma Health Care LLC
Roma Health Care LLC was paid $5.95M by Medicaid between Feb 2021 and Dec 2024, across 7 billing codes. Its largest line is H2016, community support for mental illness or disability, billed per day — 78% of everything it billed.
33Billing provider infoROMA HEALTH CARE LLC
EDINBURG, TX 78539
EDINBURG, TX 78539
33aNPI1700239209assigned 07/20/2016
33bProvider typeCase Management Agency
28Total paid$5.95M
24GClaims47,311
24DCodes billed7
24AFirst – last monthFeb 2021 – Dec 2024
Compared with peers
Next to other Case Management Agency providers in Texas
Rank by total paid#56 of 219
Median peer was paid$1.45M
This provider vs. median4.1×
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 | 6,355 | $480K | |
| 2022 | 15,215 | $1.63M | |
| 2023 | 13,548 | $1.86M | |
| 2024incomplete | 12,193 | $1.98M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| H2016 | Community support for mental illness or disability, billed per dayComprehensive community support services, per diem | 78% | 24,114 | 1,915 | $4.67M |
| M0123 | 10% | 8,110 | 316 | $617K | |
| H2014 | Skills training and development, per 15 minutes | 5.9% | 8,353 | 369 | $351K |
| T2020 | Day habilitation, waiver; per diem | 3.2% | 4,545 | 260 | $189K |
| M0122 | 1.4% | 1,133 | 50 | $82K | |
| M0116 | <1% | 952 | 48 | $34K | |
| T1002 | Rn services, up to 15 minutes | <1% | 104 | 78 | $8K |
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 officialGOMEZ, JOSE (CEO)
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|---|---|---|
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Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.