Rodriguez, Sergio

Rodriguez, Sergio was paid $79K by Medicaid between Oct 2018 and Jul 2024, across 6 billing codes. Its largest line is 99204, doctor's office visit, new patient (more involved) — 31% of everything it billed.

33Billing provider infoRODRIGUEZ, SERGIO
HIALEAH, FL 33013

33aNPI1013941848assigned 07/10/2006

33bProvider typeGastroenterology Physician

28Total paid$79K

24GClaims1,863

24DCodes billed6

24AFirst – last monthOct 2018 – Jul 2024

Compared with peers

Next to other Gastroenterology Physician providers in Florida

Rank by total paid#50 of 166

Median peer was paid$27K

This provider vs. median2.9×

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	49	$402.89
2019	708	$32K
2020	358	$11K
2021	162	$7K
2022	256	$13K
2023	301	$13K
2024incomplete	29	$1K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
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	31%	351	319	$25K
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	22%	750	588	$17K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	22%	269	247	$17K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	14%	390	360	$11K
43239	Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple	6.0%	73	66	$5K
45378	Colonoscopy, flexible; diagnostic, including collection of specimen(s)	4.9%	30	27	$4K

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.