Physician
Rosa, Maria
Rosa, Maria was paid $325K by Medicaid between Jan 2018 and Mar 2020, across 23 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 38% of everything it billed.
33Billing provider infoROSA, MARIA
MADISON, WI 53715
MADISON, WI 53715
33aNPI1992804793assigned 09/21/2006
33bProvider typePediatrics Physician
28Total paid$325K
24GClaims9,530
24DCodes billed23
24AFirst – last monthJan 2018 – Mar 2020
Compared with peers
Next to other Pediatrics Physician providers in Wisconsin
Rank by total paid#29 of 200
Median peer was paid$4K
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 | |
|---|---|---|---|
| 2018 | 4,809 | $166K | |
| 2019 | 4,229 | $143K | |
| 2020 | 492 | $16K |
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% | 2,719 | 2,128 | $122K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 19% | 787 | 671 | $61K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 16% | 741 | 641 | $51K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 6.9% | 295 | 279 | $22K |
| 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 | 5.2% | 239 | 212 | $17K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 2.5% | 94 | 92 | $8K |
| 90686 | 1.6% | 706 | 602 | $5K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 1.5% | 318 | 263 | $5K |
| 90670 | 1.5% | 633 | 557 | $5K | |
| 90648 | 1.3% | 627 | 530 | $4K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 133 | 95 | $3K |
| 90723 | <1% | 421 | 352 | $3K |
11 more codes
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 114 | $3K |
| 90680 | <1% | 348 | $2K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 148 | $2K |
| 90710 | <1% | 67 | $2K | |
| 90633 | <1% | 277 | $2K | |
| 85018 | <1% | 723 | $2K | |
| D1206 | Topical application of fluoride varnish | <1% | 54 | $1K |
| 90651 | <1% | 40 | $1K | |
| 90734 | <1% | 21 | $508.20 | |
| 90696 | <1% | 12 | $228.90 | |
| 90716 | <1% | 13 | $205.22 |
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.