Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

RODAS, SERGIO

NPI: 1194869693 · SAN JUAN CAPISTRANO, CA 92675 · Family Medicine Physician

$2.40M
Total Medicaid Paid
126,223
Total Claims
117,829
Beneficiaries
59
Codes Billed
2018-01
First Month
2023-08
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 15,037 $365K
2019 18,094 $458K
2020 16,989 $452K
2021 17,033 $407K
2022 36,969 $515K
2023 22,101 $199K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 46,344 41,395 $1.26M
99212 16,565 14,751 $342K
99214 5,901 5,601 $247K
99202 3,259 3,252 $115K
99203 1,404 1,399 $80K
93000 2,497 2,467 $76K
G0442 Annual alcohol misuse screening, 5 to 15 minutes 5,246 5,204 $54K
90688 1,204 1,196 $29K
90715 729 718 $28K
59425 491 408 $25K
99215 Prolong outpt/office vis 351 345 $23K
98960 2,209 2,113 $21K
99204 247 247 $18K
96156 1,243 1,237 $15K
99406 1,088 1,070 $11K
90732 63 62 $7K
92552 358 348 $7K
96150 859 851 $6K
87480 739 733 $5K
81003 5,022 4,669 $5K
82947 2,550 2,410 $3K
99211 222 212 $3K
G0467 Federally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit 175 169 $2K
G9920 Screening performed and negative 77 77 $2K
87430 217 214 $2K
G2025 Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only 92 88 $2K
86580 179 173 $1K
17000 15 13 $1K
90471 437 412 $1K
85018 1,191 1,143 $1K
H1001 Prenatal care, at-risk enhanced service; antepartum management 156 142 $1K
81025 998 976 $1K
H1003 Prenatal care, at-risk enhanced service; education 58 58 $983.97
T1015 Clinic visit/encounter, all-inclusive 24 24 $893.75
94010 34 33 $770.25
G9919 Screening performed and positive and provision of recommendations 30 30 $638.00
83036 109 108 $614.97
90686 29 29 $585.00
87070 210 210 $580.73
96127 4,101 3,998 $252.04
G8510 Screening for depression is documented as negative, a follow-up plan is not required 2,408 2,396 $20.05
G8431 Screening for depression is documented as being positive and a follow-up plan is documented 989 983 $7.41
Q0091 Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory 84 84 $0.13
83001 15 15 $0.04
84403 13 13 $0.04
S9470 Nutritional counseling, dietitian visit 1,559 1,488 $0.01
3700F 5,085 4,975 $0.00
1036F 3,965 3,947 $0.00
1000F 4,230 4,200 $0.00
1034F 219 219 $0.00
59400 91 91 $0.00
0012A 27 27 $0.00
H0049 Alcohol and/or drug screening 18 18 $0.00
0011A 48 48 $0.00
0502F 20 17 $0.00
2028F 246 244 $0.00
99071 65 65 $0.00
99173 402 399 $0.00
G8483 Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) 16 15 $0.00