Managed care
Alex Rojas, M.D.,Llc
Alex Rojas, M.D.,Llc was paid $1.31M by Medicaid between Jan 2019 and Oct 2024, across 17 billing codes. Its largest line is H1000, Prenatal care, at-risk assessment — 40% of everything it billed.
33Billing provider infoALEX ROJAS, M.D.,LLC
KISSIMMEE, FL 34744
KISSIMMEE, FL 34744
33aNPI1942498779assigned 10/05/2007
33bProvider typeExclusive Provider Organization
28Total paid$1.31M
24GClaims21,456
24DCodes billed17
24AFirst – last monthJan 2019 – Oct 2024
Compared with peers
Next to other Exclusive Provider Organization providers in Florida
Rank by total paid#4 of 16
Median peer was paid$18K
This provider vs. median74×
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 | |
|---|---|---|---|
| 2019 | 2,919 | $177K | |
| 2020 | 2,678 | $237K | |
| 2021 | 2,996 | $298K | |
| 2022 | 7,503 | $184K | |
| 2023 | 3,776 | $318K | |
| 2024incomplete | 1,584 | $92K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| H1000 | Prenatal care, at-risk assessment | 40% | 9,344 | 4,915 | $526K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 16% | 4,336 | 3,246 | $203K |
| 59430 | 11% | 1,165 | 856 | $148K | |
| 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 | 7.0% | 1,769 | 1,245 | $91K |
| H1001 | Prenatal care, at-risk enhanced service; antepartum management | 6.5% | 753 | 596 | $85K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 5.0% | 1,080 | 770 | $65K |
| 76830 | Ultrasound, transvaginal | 4.6% | 922 | 627 | $60K |
| 59410 | 4.5% | 59 | 57 | $58K | |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 1.2% | 206 | 185 | $16K |
| 76856 | Ultrasound, pelvic (nonobstetric), real time with image documentation; complete | 1.2% | 939 | 650 | $16K |
| 59515 | 1.2% | 12 | 12 | $15K | |
| 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 | <1% | 121 | 91 | $11K |
5 more codes
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 officialROJAS, ALEX (PRESIDENT)