Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › FL › Indian Harbour Beach › NPI 1710923214
Physician

Rosas, Luis

Rosas, Luis was paid $169K by Medicaid between Apr 2022 and May 2024, across 8 billing codes. Its largest line is 11043, — 75% of everything it billed.

33Billing provider infoROSAS, LUIS
INDIAN HARBOUR BEACH, FL 32937
33aNPI1710923214assigned 06/22/2006
28Total paid$169K
24GClaims41,670
24DCodes billed8
24AFirst – last monthApr 2022 – May 2024
Compared with peers

Next to other Family Medicine Physician providers in Florida

Rank by total paid#179 of 996
Median peer was paid$13K
This provider vs. median13×

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

$0$10K$20K2018201920202021202220232024
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
YearClaimsPaid
20227,790$16K
202328,464$97K
2024incomplete5,416$56K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
11043 75% 8,250 632 $127K
17250 10% 16,377 525 $17K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm 8.6% 8,019 651 $15K
99308 Subsequent nursing facility care, per day, straightforward 5.0% 7,813 730 $8K
99310 Prolong nursin fac eval 15m 1.1% 912 193 $2K
99309 Subsequent nursing facility care, per day, low to moderate complexity <1% 185 52 $108.18
99305 0% 37 25 $0.00
99307 0% 77 20 $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.