Physician
Moises, Rodulfo
Moises, Rodulfo was paid $3.71M by Medicaid between Jan 2018 and Nov 2024, across 62 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 49% of everything it billed.
33Billing provider infoMOISES, RODULFO
CLIFTON, NJ 07013
CLIFTON, NJ 07013
33aNPI1174560197assigned 05/31/2006
33bProvider typePediatrics Physician
28Total paid$3.71M
24GClaims101,248
24DCodes billed62
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Pediatrics Physician providers in New Jersey
Rank by total paid#38 of 549
Median peer was paid$154K
This provider vs. median24×
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 | 17,446 | $678K | |
| 2019 | 19,648 | $552K | |
| 2020 | 13,583 | $480K | |
| 2021 | 9,651 | $454K | |
| 2022 | 15,225 | $568K | |
| 2023 | 15,391 | $544K | |
| 2024incomplete | 10,304 | $431K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 49% | 28,224 | 24,354 | $1.81M |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 6.7% | 10,542 | 10,338 | $247K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 6.1% | 2,502 | 2,487 | $225K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 5.8% | 2,128 | 2,114 | $214K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 5.6% | 2,326 | 2,314 | $208K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 4.7% | 2,221 | 2,131 | $176K |
| 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 | 4.3% | 1,800 | 1,731 | $160K |
| 99401 | 3.7% | 5,499 | 4,838 | $137K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 2.9% | 3,444 | 3,362 | $109K |
| 99239 | Hospital discharge day management, more than 30 minutes | 2.3% | 1,120 | 1,101 | $84K |
| 90461 | 1.5% | 3,538 | 3,496 | $55K | |
| 99460 | 1.5% | 1,057 | 1,034 | $54K |
50 more codes
| 99462 | <1% | 851 | $30K | |
| 90677 | <1% | 197 | $26K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 2,528 | $23K |
| 90686 | <1% | 2,716 | $14K | |
| 90651 | <1% | 380 | $13K | |
| 90734 | <1% | 395 | $11K | |
| 90670 | <1% | 475 | $10K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 1,205 | $10K |
| 36410 | <1% | 655 | $9K | |
| 99173 | <1% | 4,762 | $9K | |
| 90620 | <1% | 308 | $9K | |
| 3008F | <1% | 11,644 | $6K | |
| 96161 | <1% | 2,304 | $5K | |
| 96160 | <1% | 2,243 | $5K | |
| 0002A | <1% | 109 | $4K | |
| 96127 | <1% | 1,121 | $4K | |
| 0001A | <1% | 109 | $4K | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 99 | $3K |
| 0071A | <1% | 78 | $3K | |
| 0072A | <1% | 73 | $3K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 32 | $2K |
| 90671 | <1% | 124 | $2K | |
| 99381 | <1% | 29 | $2K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 549 | $2K |
| 90715 | <1% | 174 | $2K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 121 | $2K |
| 90685 | <1% | 584 | $1K | |
| 0004A | <1% | 33 | $1K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 12 | $1K |
| 90633 | <1% | 508 | $1K | |
| 36406 | <1% | 59 | $984.68 | |
| 90700 | <1% | 434 | $868.83 | |
| 90716 | <1% | 93 | $811.39 | |
| 99441 | <1% | 63 | $805.01 | |
| 86580 | <1% | 148 | $704.11 | |
| 99442 | <1% | 33 | $607.42 | |
| 83655 | <1% | 112 | $562.03 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 27 | $421.28 |
| 90648 | <1% | 540 | $380.62 | |
| 90681 | <1% | 138 | $343.49 | |
| 90713 | <1% | 137 | $180.97 | |
| 90707 | <1% | 28 | $177.18 | |
| 90698 | <1% | 39 | $78.80 | |
| 85018 | <1% | 78 | $32.78 | |
| 87400 | <1% | 31 | $28.92 | |
| 99000 | <1% | 175 | $1.50 | |
| 91300 | 0% | 111 | $0.00 | |
| 90710 | 0% | 13 | $0.00 | |
| 91307 | 0% | 158 | $0.00 | |
| 90723 | 0% | 12 | $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.