Physician
Rodriguez, Rafael
Rodriguez, Rafael was paid $50K by Medicaid between Jan 2018 and Dec 2024, across 55 billing codes. Its largest line is 93000, — 37% of everything it billed.
33Billing provider infoRODRIGUEZ, RAFAEL
JACKSON HEIGHTS, NY 11372
JACKSON HEIGHTS, NY 11372
33aNPI1144298175assigned 03/08/2006
33bProvider typeInternal Medicine Physician
28Total paid$50K
24GClaims68,318
24DCodes billed55
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Internal Medicine Physician providers in New York
Rank by total paid#1,724 of 6,049
Median peer was paid$11K
This provider vs. median4.4×
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 | 6,978 | $9K | |
| 2019 | 10,601 | $6K | |
| 2020 | 10,007 | $8K | |
| 2021 | 11,743 | $6K | |
| 2022 | 11,722 | $5K | |
| 2023 | 9,697 | $11K | |
| 2024incomplete | 7,570 | $3K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 93000 | 37% | 1,400 | 1,399 | $19K | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 17% | 1,927 | 1,927 | $9K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 8.3% | 3,548 | 3,512 | $4K |
| 3078F | 7.4% | 3,872 | 3,820 | $4K | |
| 3074F | 6.5% | 3,434 | 3,392 | $3K | |
| G9622 | Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method | 5.6% | 2,609 | 2,606 | $3K |
| H0001 | Alcohol and/or drug assessment | 5.2% | 3,355 | 3,349 | $3K |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 3.0% | 2,539 | 2,538 | $1K |
| 93272 | 2.8% | 1,707 | 1,706 | $1K | |
| A4556 | Electrodes, (e.g., apnea monitor), per pair | 2.0% | 1,754 | 1,753 | $990.39 |
| 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 | 1.0% | 124 | 124 | $506.60 |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | <1% | 37 | 37 | $326.82 |
43 more codes
| 94760 | <1% | 4,406 | $277.26 | |
| 3075F | <1% | 369 | $270.00 | |
| 3077F | <1% | 138 | $215.00 | |
| 3079F | <1% | 339 | $212.50 | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 26 | $151.98 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | <1% | 3,585 | $108.00 |
| 82948 | <1% | 763 | $73.72 | |
| A4252 | Blood ketone test or reagent strip, each | <1% | 657 | $48.44 |
| 99401 | <1% | 220 | $16.94 | |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | <1% | 1,419 | $15.00 |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | <1% | 1,897 | $15.00 |
| A4258 | Spring-powered device for lancet, each | <1% | 520 | $13.10 |
| G0103 | Prostate cancer screening; prostate specific antigen test (psa) | <1% | 306 | $7.03 |
| A4930 | Gloves, sterile, per pair | <1% | 770 | $2.47 |
| 36415 | Collection of venous blood by venipuncture | <1% | 44 | $1.25 |
| 3044F | <1% | 804 | $0.69 | |
| 3008F | <1% | 4,353 | $0.41 | |
| 3050F | <1% | 641 | $0.18 | |
| 3049F | <1% | 506 | $0.15 | |
| 3048F | <1% | 813 | $0.14 | |
| 97802 | <1% | 162 | $0.02 | |
| 3016F | 0% | 3,081 | $0.00 | |
| 3725F | 0% | 2,910 | $0.00 | |
| A6413 | Adhesive bandage, first-aid type, any size, each | 0% | 1,148 | $0.00 |
| G9621 | Patient identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method and received brief counseling | 0% | 66 | $0.00 |
| 1160F | 0% | 159 | $0.00 | |
| 1159F | 0% | 158 | $0.00 | |
| 2028F | 0% | 13 | $0.00 | |
| 3051F | 0% | 12 | $0.00 | |
| 2010F | 0% | 4,678 | $0.00 | |
| 3061F | 0% | 341 | $0.00 | |
| 1000F | 0% | 2,916 | $0.00 | |
| 99429 | 0% | 203 | $0.00 | |
| G9275 | Documentation that patient is a current non-tobacco user | 0% | 2,730 | $0.00 |
| 3011F | 0% | 96 | $0.00 | |
| H0002 | Behavioral health screening to determine eligibility for admission to treatment program | 0% | 48 | $0.00 |
| 3017F | 0% | 183 | $0.00 | |
| 3014F | 0% | 118 | $0.00 | |
| 2000F | 0% | 159 | $0.00 | |
| 2001F | 0% | 159 | $0.00 | |
| 1036F | 0% | 40 | $0.00 | |
| G0432 | Infectious agent antibody detection by enzyme immunoassay (eia) technique, hiv-1 and/or hiv-2, screening | 0% | 32 | $0.00 |
| 99000 | 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.