Physician
Rodolfo Maldonado MD LLC
Rodolfo Maldonado MD LLC was paid $652K by Medicaid between Jan 2018 and Nov 2024, across 54 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 38% of everything it billed.
33Billing provider infoRODOLFO MALDONADO MD LLC
PERTH AMBOY, NJ 08861
PERTH AMBOY, NJ 08861
33aNPI1003178922assigned 06/15/2012
33bProvider typeInternal Medicine Physician
28Total paid$652K
24GClaims26,450
24DCodes billed54
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Internal Medicine Physician providers in New Jersey
Rank by total paid#96 of 1,027
Median peer was paid$30K
This provider vs. median22×
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 | 3,025 | $126K | |
| 2019 | 2,715 | $101K | |
| 2020 | 2,375 | $58K | |
| 2021 | 3,890 | $86K | |
| 2022 | 4,001 | $103K | |
| 2023 | 5,552 | $104K | |
| 2024incomplete | 4,892 | $74K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 38% | 5,705 | 5,537 | $246K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 29% | 6,399 | 5,407 | $187K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 7.3% | 1,081 | 1,019 | $48K |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | 6.3% | 1,905 | 1,573 | $41K |
| 99308 | Subsequent nursing facility care, per day, straightforward | 2.7% | 1,186 | 740 | $18K |
| 99350 | Prolong home eval add 15m | 2.3% | 779 | 752 | $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 | 2.2% | 182 | 176 | $14K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.5% | 414 | 354 | $10K |
| G0008 | Administration of influenza virus vaccine | 1.1% | 836 | 829 | $7K |
| 99349 | <1% | 347 | 303 | $6K | |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | <1% | 588 | 507 | $6K |
| G0444 | Annual depression screening, 5 to 15 minutes | <1% | 855 | 853 | $6K |
42 more codes
| 90656 | <1% | 361 | $6K | |
| 99496 | <1% | 84 | $5K | |
| G0108 | Diabetes outpatient self-management training services, individual, per 30 minutes | <1% | 463 | $5K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 57 | $4K |
| 93000 | <1% | 343 | $4K | |
| 90674 | <1% | 104 | $3K | |
| 90653 | <1% | 150 | $2K | |
| 99402 | <1% | 51 | $2K | |
| 99348 | <1% | 96 | $2K | |
| 99220 | <1% | 36 | $2K | |
| G0442 | Annual alcohol misuse screening, 5 to 15 minutes | <1% | 396 | $1K |
| 99490 | Ccm add 20min | <1% | 220 | $1K |
| 99232 | Hospital visit by a doctor, follow-up day | <1% | 14 | $1K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 27 | $1K |
| 99233 | Hospital visit by a doctor, follow-up day (complex) | <1% | 16 | $1K |
| 99223 | Prolong inpt eval add15 m | <1% | 26 | $1K |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 17 | $935.53 |
| 99226 | <1% | 17 | $889.28 | |
| 99306 | Prolong nursin fac eval 15m | <1% | 20 | $793.59 |
| 99385 | <1% | 12 | $793.43 | |
| G2058 | Chronic care management services, each additional 20 minutes of clinical staff time directed by a physician or other qualified health care professional, per calendar month (list separately in addition to code for primary procedure). (do not report g2058 for care management services of less than 20 minutes additional to the first 20 minutes of chronic care management services during a calendar month). (use g2058 in conjunction with 99490). (do not report 99490, g2058 in the same calendar month as 99487, 99489, 99491)). | <1% | 76 | $608.04 |
| 90662 | <1% | 95 | $555.71 | |
| 99217 | <1% | 29 | $530.19 | |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | <1% | 48 | $475.73 |
| 99397 | <1% | 17 | $358.53 | |
| 99307 | <1% | 22 | $341.77 | |
| 99305 | <1% | 13 | $337.80 | |
| 96127 | <1% | 220 | $54.23 | |
| G0009 | Administration of pneumococcal vaccine | <1% | 14 | $46.00 |
| 82948 | <1% | 34 | $37.17 | |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 36 | $22.18 |
| 3077F | 0% | 105 | $0.00 | |
| 3078F | 0% | 561 | $0.00 | |
| 1160F | 0% | 260 | $0.00 | |
| 1159F | 0% | 260 | $0.00 | |
| 3079F | 0% | 175 | $0.00 | |
| 1126F | 0% | 749 | $0.00 | |
| 3074F | 0% | 520 | $0.00 | |
| 1125F | 0% | 151 | $0.00 | |
| 3075F | 0% | 153 | $0.00 | |
| 3044F | 0% | 101 | $0.00 | |
| 3080F | 0% | 24 | $0.00 |
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 officialMALDONADO, RODOLFO (MANAGING DIRECTOR)