MARITZA ROMAN, M.D., Pediatrician
NPI 1780787317, individual, Anadarko, OK, Pediatrics
- Hours beyond a day in 2 months under one organization, which can be supervisory billing.
- Records needed.
- Medicaid dollars per patient on code 99211 ($678 per patient-month) sit in the top 5% of every provider billing that code.
Hours billed per day
Medicaid billing converted into hours of hands-on care per day. The lower bound counts one unit per claim line and needs no price; the other two divide dollars by a unit price, the conservative one at 1.5 times the price. The clinician on the claim may be a supervisor under state rules, so billing organizations are counted too.
| month | what was found | hours per day, lower bound | hours per day, at price | hours per day, conservative | per working day | patients | billing organizations | codes | paid |
|---|---|---|---|---|---|---|---|---|---|
| Oct 2023 | More hours than a day holds at a conservative unit price | 1.1 | 36.6 | 24.4 | 34.4 | 356 | 1 | 99211 | $266K |
| Oct 2024 | More hours than a day holds at a conservative unit price | 1.1 | 38.6 | 25.7 | 34.7 | 361 | 1 | 99211 | $285K |
National provider registry
From the CMS NPPES Registry, refreshed daily.
| Name | MARITZA ROMAN, M.D., Pediatrician |
| Type | Individual |
| Status | Active |
| NPI issued | September 7, 2006, last updated July 8, 2007 |
| Practice location | 115 N.E. OLDTOWN DRIVE, Anadarko, OK 73005-0828, 405-247-2458 |
| Mailing address | P.O. BOX 828, Anadarko, OK 73005-0828 |
| Specialties | Pediatrics (208000000X, primary, license 35071329 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.
| code | what it is | paid | share | per patient-month | typical | rank among providers | |
|---|---|---|---|---|---|---|---|
| 99211 | Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional | $5.5M | 100% | $678 | $16 (top 5% from $128) | 100th percentile |
In this area
2 providers in Caddo County, OK carry an indicator in the public record, with $922K at stake between them. The most common is more hours than a day holds, on 2 of them.
| tier | provider | at stake | why |
|---|---|---|---|
| 4 | RANDY COX Anadarko, OK, ranked 7904 | $643K |
|
| 5 | AMY COHEE Anadarko, OK, ranked 10349 | $280K |
|
Recent enforcement in OK
All releasesDepartment of Justice and HHS-OIG releases for this state, newest first. Each opens in a new tab.
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.