Romero, Luz
Romero, Luz was paid $1.37M by Medicaid between Jan 2018 and Oct 2023, across 42 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 38% of everything it billed.
33Billing provider infoROMERO, LUZ
LAKEWOOD, NJ 08701
LAKEWOOD, NJ 08701
33aNPI1720027691assigned 06/06/2006
33bProvider typeSpecialist
28Total paid$1.37M
24GClaims71,536
24DCodes billed42
24AFirst – last monthJan 2018 – Oct 2023
Compared with peers
Next to other Specialist providers in New Jersey
Rank by total paid#46 of 378
Median peer was paid$63K
This provider vs. median22×
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 | 9,170 | $211K | |
| 2019 | 9,124 | $213K | |
| 2020 | 10,110 | $205K | |
| 2021 | 13,373 | $237K | |
| 2022 | 16,702 | $288K | |
| 2023 | 13,057 | $220K |
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 | 38% | 11,569 | 10,340 | $526K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 13% | 2,522 | 2,513 | $184K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 13% | 2,667 | 2,658 | $178K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 9.9% | 2,090 | 2,068 | $136K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 4.5% | 1,043 | 1,002 | $62K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 4.0% | 4,766 | 4,646 | $54K |
| 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 | 3.3% | 742 | 696 | $46K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 3.1% | 3,074 | 3,018 | $43K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 1.9% | 1,417 | 1,399 | $26K |
| 90461 | 1.2% | 1,751 | 1,707 | $17K | |
| 90620 | 1.1% | 368 | 353 | $15K | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 945 | 935 | $11K |
30 more codes
| 90651 | <1% | 234 | $11K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 924 | $9K |
| 90686 | <1% | 2,502 | $8K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 119 | $8K |
| 90734 | <1% | 287 | $7K | |
| 96127 | <1% | 2,770 | $7K | |
| 90670 | <1% | 512 | $6K | |
| 99173 | <1% | 3,116 | $6K | |
| 90649 | <1% | 190 | $5K | |
| 96160 | <1% | 1,766 | $3K | |
| 90716 | <1% | 149 | $2K | |
| 90707 | <1% | 198 | $2K | |
| 86403 | <1% | 418 | $1K | |
| 90681 | <1% | 70 | $642.80 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 59 | $590.33 |
| 90633 | <1% | 169 | $548.42 | |
| 90723 | <1% | 31 | $333.22 | |
| 90715 | <1% | 15 | $256.62 | |
| 81002 | <1% | 439 | $232.69 | |
| 90685 | <1% | 143 | $214.06 | |
| 94664 | <1% | 12 | $117.75 | |
| 90698 | <1% | 110 | $106.79 | |
| 90648 | <1% | 30 | $87.76 | |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | <1% | 5,529 | $1.00 |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | 0% | 5,865 | $0.00 |
| 87070 | 0% | 1,433 | $0.00 | |
| 3008F | 0% | 5,881 | $0.00 | |
| 90680 | 0% | 14 | $0.00 | |
| G0270 | Medical nutrition therapy; reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition or treatment regimen (including additional hours needed for renal disease), individual, face to face with the patient, each 15 minutes | 0% | 5,584 | $0.00 |
| G0271 | Medical nutrition therapy, reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition, or treatment regimen (including additional hours needed for renal disease), group (2 or more individuals), each 30 minutes | 0% | 13 | $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.