Physician
Carmen D Rocco
Carmen D Rocco was paid $3.45M by Medicaid between Jan 2018 and Dec 2024, across 83 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 32% of everything it billed.
33Billing provider infoCARMEN D ROCCO
BROWNSVILLE, TX 78521
BROWNSVILLE, TX 78521
33aNPI1700297405assigned 05/15/2014
33bProvider typePediatrics Physician
28Total paid$3.45M
24GClaims189,272
24DCodes billed83
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Texas
Rank by total paid#134 of 1,136
Median peer was paid$329K
This provider vs. median11×
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 | 329 | $8K | |
| 2019 | 455 | $11K | |
| 2020 | 12,928 | $188K | |
| 2021 | 59,736 | $1.06M | |
| 2022 | 56,361 | $1.08M | |
| 2023 | 41,109 | $727K | |
| 2024incomplete | 18,354 | $386K |
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 | 32% | 32,976 | 24,451 | $1.11M |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 11% | 9,183 | 8,051 | $373K |
| 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 | 7.3% | 5,501 | 4,963 | $254K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 6.7% | 2,994 | 2,937 | $231K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 6.3% | 2,931 | 2,835 | $216K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 6.0% | 2,623 | 2,563 | $208K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 5.0% | 13,532 | 9,175 | $174K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 3.4% | 11,457 | 5,214 | $116K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 3.0% | 1,466 | 1,410 | $104K |
| S8301 | Infection control supplies, not otherwise specified | 2.9% | 6,754 | 6,099 | $100K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 2.6% | 4,215 | 4,022 | $89K |
| 99429 | 2.3% | 2,582 | 2,496 | $78K |
71 more codes
| 99050 | 2.1% | 5,139 | $74K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 1.5% | 5,852 | $52K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 1.1% | 5,840 | $38K |
| 92552 | <1% | 4,442 | $31K | |
| 99000 | <1% | 3,630 | $24K | |
| 99051 | <1% | 4,691 | $24K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 2,148 | $21K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 3,568 | $15K |
| 87807 | <1% | 1,857 | $14K | |
| 90461 | <1% | 2,993 | $14K | |
| 81002 | <1% | 6,579 | $12K | |
| 0001A | <1% | 293 | $11K | |
| 0002A | <1% | 259 | $10K | |
| G9716 | Bmi is documented as being outside of normal parameters, follow-up plan is not completed for documented medical reason | <1% | 3,811 | $8K |
| 0071A | <1% | 218 | $8K | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 70 | $7K |
| 0072A | <1% | 166 | $7K | |
| 96160 | <1% | 8,118 | $6K | |
| 83655 | <1% | 309 | $3K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 412 | $3K |
| 86580 | <1% | 301 | $2K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 54 | $2K |
| S9441 | Asthma education, non-physician provider, per session | <1% | 1,440 | $2K |
| CP002 | <1% | 165 | $2K | |
| 97169 | <1% | 119 | $1K | |
| 0004A | <1% | 45 | $1K | |
| 0111A | <1% | 34 | $1K | |
| 0053A | <1% | 29 | $1K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 12 | $1K |
| 99381 | <1% | 13 | $947.87 | |
| 92587 | <1% | 205 | $812.97 | |
| 0073A | <1% | 12 | $480.00 | |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | <1% | 288 | $477.81 |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 30 | $345.10 |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 12 | $291.13 |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 29 | $273.85 |
| 90677 | <1% | 191 | $254.12 | |
| 69210 | <1% | 13 | $225.66 | |
| 84030 | <1% | 27 | $83.16 | |
| 82270 | <1% | 12 | $18.40 | |
| J7613 | Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg | <1% | 14 | $0.44 |
| 90651 | <1% | 482 | $0.02 | |
| 90686 | <1% | 1,542 | $0.02 | |
| 90698 | 0% | 953 | $0.00 | |
| 96127 | 0% | 870 | $0.00 | |
| 3008F | 0% | 5,872 | $0.00 | |
| 91307 | 0% | 465 | $0.00 | |
| 94760 | 0% | 28 | $0.00 | |
| 90716 | 0% | 719 | $0.00 | |
| 3074F | 0% | 4,113 | $0.00 | |
| 2000F | 0% | 772 | $0.00 | |
| 91305 | 0% | 62 | $0.00 | |
| 90744 | 0% | 524 | $0.00 | |
| 90620 | 0% | 30 | $0.00 | |
| 99070 | 0% | 712 | $0.00 | |
| 90688 | 0% | 32 | $0.00 | |
| 90656 | 0% | 18 | $0.00 | |
| 90633 | 0% | 676 | $0.00 | |
| 99173 | 0% | 4,871 | $0.00 | |
| 90707 | 0% | 706 | $0.00 | |
| 90670 | 0% | 1,079 | $0.00 | |
| 90648 | 0% | 57 | $0.00 | |
| 90700 | 0% | 633 | $0.00 | |
| 99072 | 0% | 665 | $0.00 | |
| 91311 | 0% | 47 | $0.00 | |
| 90734 | 0% | 701 | $0.00 | |
| 90681 | 0% | 327 | $0.00 | |
| 91300 | 0% | 656 | $0.00 | |
| 90713 | 0% | 148 | $0.00 | |
| 94664 | 0% | 1,710 | $0.00 | |
| 90715 | 0% | 148 | $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 officialROCCO, CARMEN (OWNER)