Physician
Rudolph Medical Associates, PA
Rudolph Medical Associates, PA was paid $11K by Medicaid between Jan 2018 and Sep 2024, across 36 billing codes. Its largest line is 99215, doctor's office visit, returning patient (complex) — 57% of everything it billed.
33Billing provider infoRUDOLPH MEDICAL ASSOCIATES, PA
HOUSTON, TX 77072
HOUSTON, TX 77072
33aNPI1053439364assigned 03/26/2007
33bProvider typeInternal Medicine Physician
28Total paid$11K
24GClaims11,045
24DCodes billed36
24AFirst – last monthJan 2018 – Sep 2024
Compared with peers
Next to other Internal Medicine Physician providers in Texas
Rank by total paid#506 of 1,028
Median peer was paid$10K
This provider vs. median1.0×
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 | 4,173 | $5K | |
| 2019 | 1,925 | $3K | |
| 2020 | 1,796 | $2K | |
| 2021 | 1,895 | $791.33 | |
| 2022 | 533 | $0.00 | |
| 2023 | 571 | $0.00 | |
| 2024incomplete | 152 | $0.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 57% | 147 | 145 | $6K |
| 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% | 177 | 160 | $4K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 3.5% | 28 | 26 | $385.20 |
| 0013A | 1.1% | 265 | 264 | $118.00 | |
| 93000 | <1% | 12 | 12 | $52.44 | |
| 1036F | 0% | 1,238 | 1,095 | $0.00 | |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 757 | 703 | $0.00 |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 1,014 | 902 | $0.00 |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 104 | 98 | $0.00 |
| 1126F | 0% | 444 | 402 | $0.00 | |
| 1101F | 0% | 232 | 229 | $0.00 | |
| G8418 | Bmi is documented below normal parameters and a follow-up plan is documented | 0% | 141 | 133 | $0.00 |
24 more codes
| G8950 | Elevated or hypertensive blood pressure reading documented, and the indicated follow-up is documented | 0% | 449 | $0.00 |
| G0008 | Administration of influenza virus vaccine | 0% | 112 | $0.00 |
| 1125F | 0% | 170 | $0.00 | |
| 1170F | 0% | 424 | $0.00 | |
| 91301 | 0% | 272 | $0.00 | |
| G9226 | Foot examination performed (includes examination through visual inspection, sensory exam with 10-g monofilament plus testing any one of the following: vibration using 128-hz tuning fork, pinprick sensation, ankle reflexes, or vibration perception threshold, and pulse exam; report when all of the 3 components are completed) | 0% | 59 | $0.00 |
| 90694 | 0% | 13 | $0.00 | |
| 0031A | 0% | 36 | $0.00 | |
| 91303 | 0% | 53 | $0.00 | |
| G8399 | Patient with documented results of a central dual-energy x-ray absorptiometry (dxa) ever being performed | 0% | 167 | $0.00 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 1,457 | $0.00 |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 0% | 138 | $0.00 |
| 99080 | 0% | 1,883 | $0.00 | |
| G8731 | Pain assessment using a standardized tool is documented as negative, no follow-up plan required | 0% | 435 | $0.00 |
| G8482 | Influenza immunization administered or previously received | 0% | 175 | $0.00 |
| 0521F | 0% | 144 | $0.00 | |
| G8730 | Pain assessment documented as positive using a standardized tool and a follow-up plan is documented | 0% | 219 | $0.00 |
| 3725F | 0% | 41 | $0.00 | |
| G8753 | Most recent systolic blood pressure >= 140 mmhg | 0% | 124 | $0.00 |
| 0034A | 0% | 16 | $0.00 | |
| 90653 | 0% | 13 | $0.00 | |
| G8783 | Normal blood pressure reading documented, follow-up not required | 0% | 44 | $0.00 |
| 4040F | 0% | 13 | $0.00 | |
| 90662 | 0% | 29 | $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 officialHO, TRAM (PRESIDENT)