Clinic
Roque Medical LLC
Roque Medical LLC was paid $3K by Medicaid between Jun 2021 and Mar 2023, across 2 billing codes. Its largest line is 99203, doctor's office visit, new patient (routine) — 71% of everything it billed.
33Billing provider infoROQUE MEDICAL LLC
TEANECK, NJ 07666
TEANECK, NJ 07666
33aNPI1770173650assigned 01/25/2021
33bProvider typeCommunity Health Clinic/Center
28Total paid$3K
24GClaims1,261
24DCodes billed2
24AFirst – last monthJun 2021 – Mar 2023
Compared with peers
Next to other Community Health Clinic/Center providers in New Jersey
Rank by total paid#9 of 12
Median peer was paid$7K
This provider vs. median0.5×
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 | 419 | $1K | |
| 2022 | 741 | $2K | |
| 2023 | 101 | $0.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 71% | 785 | 735 | $2K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 29% | 476 | 311 | $926.75 |
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 officialVENEGAS-PIZARRO, MARCELO (MEDICAL DIRECTOR)