Physician
LA Rosa, Niurka
LA Rosa, Niurka was paid $1.30M by Medicaid between Jan 2018 and Nov 2024, across 26 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 53% of everything it billed.
33Billing provider infoLA ROSA, NIURKA
GUTTENBERG, NJ 07093
GUTTENBERG, NJ 07093
33aNPI1811150246assigned 07/07/2008
33bProvider typePediatrics Physician
28Total paid$1.30M
24GClaims46,045
24DCodes billed26
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Pediatrics Physician providers in New Jersey
Rank by total paid#96 of 549
Median peer was paid$154K
This provider vs. median8.4×
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 | 7,918 | $276K | |
| 2019 | 6,117 | $200K | |
| 2020 | 5,131 | $138K | |
| 2021 | 6,477 | $171K | |
| 2022 | 7,794 | $194K | |
| 2023 | 7,553 | $188K | |
| 2024incomplete | 5,055 | $132K |
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 | 53% | 15,140 | 12,133 | $689K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 14% | 5,012 | 4,601 | $188K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 8.0% | 5,509 | 5,253 | $104K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 5.4% | 1,342 | 1,335 | $70K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 5.2% | 1,269 | 1,262 | $67K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 3.3% | 796 | 790 | $42K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 2.5% | 2,856 | 2,761 | $33K |
| 92551 | 2.4% | 3,024 | 2,993 | $31K | |
| 90461 | 1.6% | 1,314 | 1,270 | $21K | |
| 36415 | Collection of venous blood by venipuncture | 1.2% | 4,212 | 4,075 | $15K |
| 90674 | <1% | 409 | 409 | $8K | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 138 | 138 | $7K |
14 more codes
| 90686 | <1% | 1,337 | $7K | |
| G0444 | Annual depression screening, 5 to 15 minutes | <1% | 860 | $6K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 452 | $6K |
| 99173 | <1% | 1,957 | $2K | |
| 90651 | <1% | 12 | $700.26 | |
| 90716 | <1% | 43 | $426.93 | |
| 36406 | <1% | 24 | $334.45 | |
| 90670 | <1% | 12 | $226.43 | |
| 83655 | <1% | 242 | $216.00 | |
| 99442 | <1% | 13 | $154.86 | |
| 90707 | <1% | 26 | $100.00 | |
| 81025 | <1% | 19 | $64.39 | |
| 99441 | <1% | 12 | $61.66 | |
| 90633 | <1% | 15 | $36.92 |
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.