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NPI 1225274343 · Casselberry, FL · Geriatric Medicine (Family Medicine) Physician
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Clara Roman is a geriatric medicine (family medicine) physician provider located in Casselberry, Florida. This profile covers 10 Medicare and 8 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.
Provider details (source: NPPES NPI Registry)
| Field | Value |
|---|---|
| Entity Type | Individual |
| Organization | Clara Roman |
| Address | 2041 Schuller Way |
| City | Casselberry |
| State | FL |
| ZIP | 32707 |
| Taxonomy | Geriatric Medicine (Family Medicine) Physician |
| NPI Enumerated | December 18, 2008 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $261.6K |
| Medicaid | $14.5K |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
10 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 99348 | The provider sees an established patient for a home or residence visit involving evaluation and management (E/M). The visit involves low medical decision making or the provider spends at least 30… | 1,220 | $60 | $67.1K |
| 99349 | The provider sees an established patient for a home or residence visit involving evaluation and management (E/M). The visit involves moderate medical decision making or the provider spends at least… | 640 | $100 | $62.2K |
| 99309 | The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or the provider… | 630 | $80 | $51.7K |
| G0181 | Physician or allowed practitioner supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and… | 560 | $80 | $44.2K |
| 99306 | The provider sees a patient for an initial nursing facility care visit involving evaluation and management (E/M). The visit involves high medical decision making, and/or the provider spends at least… | 80 | $140 | $11.5K |
| 99344 | The provider sees a new patient for a home or residence visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or the provider spends at least… | 90 | $90 | $8.6K |
| 99347 | The provider sees an established patient for a home or residence visit involving evaluation and management (E/M). The visit involves straightforward medical decision making or the provider spends at… | 190 | $30 | $6.4K |
| G0180 | Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review… | 130 | $40 | $5.2K |
| G0179 | Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and… | 100 | $30 | $3K |
| 99316 | The provider sees a patient for nursing facility discharge management requiring more than 30 minutes. | 20 | $100 | $2K |
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 10 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.
View: By Year1 / 3
Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
8 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 99309 | The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or the provider… | 2,590 | $10 | $12.9K |
| 99214 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the… | 120 | $1 | $360 |
| 99335 | N/A | 80 | $1 | $170 |
| 1006F | No Summary found for this code | 670 | $0 | $0 |
| 1090F | Urinary incontinence refers to the leakage of urine due to lack of bladder control. The provider assesses a female patient of 65 years or older for the presence or absence of urinary incontinence… | 40 | $0 | $0 |
| 3044F | The A1C test (HbA1C test) is a blood test which shows the levels of glucose (sugar) in the blood. The provider uses the test to determine if the patient’s diabetes is well controlled. The provider… | 50 | $0 | $0 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 1,570 | $0 | $0 |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 1,780 | $0 | $0 |
How this provider's Medicaid billing volume and revenue compare to other Florida providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Florida median
8 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 99214 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the… | 4,472 | 6,380 | 430 | $50 | $139.3K |
| 99309 | The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or the provider… | 273 | 890 | 960 | $10 | $40.1K |
| 99335 | N/A | 240 | 330 | 290 | $10 | $14.6K |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 170 | 960 | 220 | $1 | $120 |
| 1090F | Urinary incontinence refers to the leakage of urine due to lack of bladder control. The provider assesses a female patient of 65 years or older for the presence or absence of urinary incontinence… | 51 | 70 | 100 | $1 | $80 |
| 3044F | The A1C test (HbA1C test) is a blood test which shows the levels of glucose (sugar) in the blood. The provider uses the test to determine if the patient’s diabetes is well controlled. The provider… | 245 | 340 | 130 | $1 | $30 |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 35 | 300 | 140 | $1 | $20 |
| 1006F | No Summary found for this code | 4 | 10 | 1,100 | $1 | $1 |
Other providers in the same ZIP code as Clara Roman, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Total Renal Care Inc | FL | End-Stage Renal Disease (ESRD) Treatment Clinic/Center | $0 | $7.8M |
| Adrian Burrowes | FL | Family Medicine Physician | $357.2K | $0 |
| Andrea Kichline | FL | Adult Health Nurse Practitioner | $292.7K | $0 |
| Solange Paz Becil | FL | Family Nurse Practitioner | $273.8K | $0 |
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