Rohena, Luis

Rohena, Luis was paid $41K by Medicaid between Jun 2021 and Nov 2024, across 4 billing codes. Its largest line is 99245, — 92% of everything it billed.

33Billing provider infoROHENA, LUIS
FORT SAM HOUSTON, TX 78234

33aNPI1912169319assigned 06/26/2008

33bProvider typePediatrics Physician

28Total paid$41K

24GClaims348

24DCodes billed4

24AFirst – last monthJun 2021 – Nov 2024

Compared with peers

Next to other Pediatrics Physician providers in Texas

Rank by total paid#802 of 1,136

Median peer was paid$329K

This provider vs. median0.1×

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	28	$3K
2022	81	$11K
2023	199	$23K
2024incomplete	40	$4K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99245		92%	306	285	$38K
99204	Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity	3.1%	14	14	$1K
99215	Doctor's office visit, returning patient (complex)Prolong outpt/office vis	2.9%	12	12	$1K
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	1.9%	16	15	$761.92

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.