Behavioral
Rogelio Machuca MD Family Medicine, PLLC
Rogelio Machuca MD Family Medicine, PLLC was paid $1.60M by Medicaid between Jan 2018 and Nov 2024, across 13 billing codes. Its largest line is 90837, psychotherapy session, about an hour — 41% of everything it billed.
33Billing provider infoROGELIO MACHUCA MD FAMILY MEDICINE, PLLC
LAS VEGAS, NV 89101
LAS VEGAS, NV 89101
33aNPI1023551355assigned 11/17/2016
33bProvider typeMental Health Counselor
28Total paid$1.60M
24GClaims21,758
24DCodes billed13
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Mental Health Counselor providers in Nevada
Rank by total paid#18 of 171
Median peer was paid$62K
This provider vs. median26×
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 | 41 | $5K | |
| 2019 | 2,864 | $269K | |
| 2020 | 5,054 | $371K | |
| 2021 | 7,286 | $488K | |
| 2022 | 4,567 | $323K | |
| 2023 | 875 | $73K | |
| 2024incomplete | 1,071 | $74K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 41% | 7,057 | 2,505 | $655K |
| H2017 | Psychosocial rehabilitation, billed per 15 minutesPsychosocial rehabilitation services, per 15 minutes | 33% | 5,331 | 963 | $535K |
| H2014 | Skills training and development, per 15 minutes | 8.3% | 2,860 | 498 | $134K |
| Q3014 | Telehealth originating site facility fee | 5.2% | 3,851 | 1,619 | $84K |
| 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 | 4.9% | 869 | 762 | $79K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 3.0% | 906 | 756 | $49K |
| H0004 | Behavioral health counseling and therapy, per 15 minutes | 2.6% | 366 | 137 | $42K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | <1% | 249 | 95 | $16K |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | <1% | 110 | 106 | $7K |
| 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 | <1% | 20 | 14 | $2K |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 14 | 14 | $1K |
| H0002 | Behavioral health screening to determine eligibility for admission to treatment program | <1% | 36 | 29 | $892.33 |
1 more codes
| 96127 | <1% | 89 | $395.24 |
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 officialMACHUCA, ROGELIO (OWNER)
| Provider | Location | Paid |
|---|---|---|
| Rogelio Machuca MD Family Medicine, PLLC | Las Vegas, NV | $2.73M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.