Providers
All 151 in OH
ANTONIO J DELROSARIO, MD
NPI 1497733422, individual, Reynoldsburg, OH, Family Medicine
1
Evidence tier
documented action, then payment
- Listed on the Medicare revocation list since November 19, 2020.
- Medicaid still paid claims in 3 later months, $4,312 in total.
score 94 of 100, rank 330, $4K at stake
Public list actions
Medicare revocation effective November 19, 2020, barred from re-enrolling until November 19, 2030
424.535(a)(9) failure to report and 424.535(a)(12) other program termination (medicaid) and 424.535(a)(3) felonies, Practitioner - Pediatric Medicine, OH
OIG exclusion May 19, 2022 under section 1128a4
Physician (MD, DO), Pediatrics, Pickerington, OH
Paid after the action
Months in which Medicaid paid claims for this provider after a public action that should have triggered a screening check. This is a record of payments, not a determination that they were improper.
| list | identity check | action date | window closed | months paid after | first | last | paid after | 12 months before |
|---|---|---|---|---|---|---|---|---|
| Medicare revocation list 424.535(a)(9) failure to report and 424.535(a)(12) other program termination (medicaid) and 424.535(a)(3) felonies | Exact NPI, name verified | Nov 19, 2020 | Nov 19, 2030 | 3 | Dec 2020 | Feb 2021 | $4K | $109K |
National provider registry
From the CMS NPPES Registry, refreshed daily.
| Name | ANTONIO J DELROSARIO, MD |
| Type | Individual, sole proprietor |
| Status | Active |
| NPI issued | January 9, 2006, last updated March 7, 2023 |
| Practice location | 6501 E LIVINGSTON AVE, SUITE 2, Reynoldsburg, OH 43068-3561, 614-751-4288 |
| Specialties | Family Medicine, Geriatric Medicine (207QG0300X, license 35033390D OH) Pediatrics (208000000X, license 35033390D OH) Family Medicine (207Q00000X, primary, license 35033390D OH) |
Procedures billed
The specific codes behind the dollars. Medicaid figures come from T-MSIS (2018 to 2024) and are compared with every other provider billing the same code; Medicare figures come from the 2024 physician and supplier file and compare this provider's submitted charge with what Medicare allowed, against the usual ratio for that code.
Medicaid, largest codes
| code | what it is | paid | share | per patient-month | typical | rank among providers | |
|---|---|---|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | $152K | 47% | $64 | $60 (top 5% from $133) | 54th percentile | |
| 99215 | Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or morehistory of abuse | $132K | 40% | $86 | $88 (top 5% from $210) | 49th percentile | |
| 99350 | Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes | $23K | 7% | $28 | $37 (top 5% from $218) | 42nd percentile | |
| 90460 | Administration of first vaccine or toxoid component with counseling (18 years or younger) | $8K | 2% | $31 | $26 (top 5% from $54) | 61st percentile | |
| 96110 | Medicaid service code | $6K | 2% | $7.37 | $10 (top 5% from $38) | 27th percentile | |
| 99443 | Telephone medical discussion with physician, 21-30 minutes | $3K | 1% | $18 | $31 (top 5% from $184) | 36th percentile | |
| 99394 | Medicaid service code | $860 | 0% | $66 | $83 (top 5% from $128) | too few months to rank | |
| 99393 | Medicaid service code | $754 | 0% | $58 | $78 (top 5% from $121) | too few months to rank |
In this area
151 providers in Franklin County, OH carry an indicator in the public record, with $200.4M at stake between them. The most common is part of a provider network, on 119 of them, followed by more hours than a day holds on 18. 7 are tier 1: documented action, then payment.
| tier | provider | at stake | why |
|---|---|---|---|
| 1 | TOWN STREET MEDICAL, LLC Columbus, OH, ranked 285 | $10K |
|
| 1 | ROBERT FLOREA Columbus, OH, ranked 288 | $0 |
|
| 1 | ANTONIO J. DEL ROSARIO, M.D. INC. Columbus, OH, ranked 343 | $3K |
|
| 1 | SALLY NJUME-TATSING Reynoldsburg, OH, ranked 505 | $0 |
|
| 1 | BUCKEYE HEALTH AND RESEARCH Columbus, OH, ranked 546 | $0 |
|
| 1 | LABELLE HOMEHEALTH CARE SERVICES LLC Reynoldsburg, OH, ranked 593 | $0 |
|
| 1 | BUCKEYE HEALTH AND RESEARCH LLC Columbus, OH, ranked 636 | $0 |
|
| 3 | HORIZON HEALTHCARE CENTER LLC Columbus, OH, ranked 773 | $2.8M |
|
Recent enforcement in OH
All releasesDepartment of Justice and HHS-OIG releases for this state, newest first. Each opens in a new tab.
DOJCivil settlementJun 23, 2026
Ohio Dentist Agrees to Pay $500,000 to Resolve Allegations of Submitting False Claims to Medicaid
Meckler billed the Ohio Department of Medicaid for services provided by Ball, who was excluded from the Medicaid program, by listing Meckler as the rendering provider instead of Ball.
DOJSentencedJun 15, 2026
Ohio Doctor Ordered to Pay Nearly $1M for Facilitating Fraud on Medicare
A physician working as an independent contractor for a telemedicine company signed doctor's orders for durable medical equipment braces and genetic testing without meaningfully reviewing patient records or performing required in-person assessments, and those orders were used to bill Medicare more than $1,842,524.
DOJCivil settlementApr 2, 2026
Trinity Hospital Agrees to Pay $1.7M to Resolve Alleged Stark Law Violations
Trinity agreed to pay $1.7 million to resolve allegations that from 2014 through 2020 it made improper financial contributions to two referring physicians through office space rental arrangements that exceeded fair market value, in violation of the Stark Law.
DOJComplaint filedFeb 20, 2026
Justice Department Sues OhioHealth for Anticompetitive Healthcare Contracts That Increase Costs for Ohio Patients
The Justice Department and Ohio Attorney General filed a civil antitrust complaint alleging OhioHealth used its market power to impose contractual restrictions that prevent insurers from offering lower-cost health plans and limit access to price information.
DOJSentencedJan 14, 2026
Ohio Doctor Sentenced to Prison for $14M Healthcare Fraud Scheme
A licensed Ohio physician employed by two Florida telemedicine companies signed pre-completed orders for durable medical equipment and cancer genetic testing, falsely affirming he had examined the patients, causing more than $14.5 million in fraudulent Medicare claims.
Referral packet
The packet is a draft for a reviewer. It reads every public record behind this case, states what the records show with a citation for each finding, names the regulation each finding relates to, and lists the ordinary explanations to rule out first. It never asserts intent.