Physician
Rodas, Sergio
Rodas, Sergio was paid $2.40M by Medicaid between Jan 2018 and Aug 2023, across 59 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 52% of everything it billed.
33Billing provider infoRODAS, SERGIO
SAN JUAN CAPISTRANO, CA 92675
SAN JUAN CAPISTRANO, CA 92675
33aNPI1194869693assigned 02/16/2007
33bProvider typeFamily Medicine Physician
28Total paid$2.40M
24GClaims126,223
24DCodes billed59
24AFirst – last monthJan 2018 – Aug 2023
Compared with peers
Next to other Family Medicine Physician providers in California
Rank by total paid#102 of 2,511
Median peer was paid$13K
This provider vs. median187×
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 | 15,037 | $365K | |
| 2019 | 18,094 | $458K | |
| 2020 | 16,989 | $452K | |
| 2021 | 17,033 | $407K | |
| 2022 | 36,969 | $515K | |
| 2023 | 22,101 | $199K |
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 | 52% | 46,344 | 41,395 | $1.26M |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 14% | 16,565 | 14,751 | $342K |
| 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 | 10% | 5,901 | 5,601 | $247K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 4.8% | 3,259 | 3,252 | $115K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 3.3% | 1,404 | 1,399 | $80K |
| 93000 | 3.2% | 2,497 | 2,467 | $76K | |
| G0442 | Annual alcohol misuse screening, 5 to 15 minutes | 2.2% | 5,246 | 5,204 | $54K |
| 90688 | 1.2% | 1,204 | 1,196 | $29K | |
| 90715 | 1.2% | 729 | 718 | $28K | |
| 59425 | 1.1% | 491 | 408 | $25K | |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | <1% | 351 | 345 | $23K |
| 98960 | <1% | 2,209 | 2,113 | $21K |
47 more codes
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 247 | $18K |
| 96156 | <1% | 1,243 | $15K | |
| 99406 | <1% | 1,088 | $11K | |
| 90732 | <1% | 63 | $7K | |
| 92552 | <1% | 358 | $7K | |
| 96150 | <1% | 859 | $6K | |
| 87480 | <1% | 739 | $5K | |
| 81003 | <1% | 5,022 | $5K | |
| 82947 | <1% | 2,550 | $3K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 222 | $3K |
| G0467 | Community health center visit, returning patient | <1% | 175 | $2K |
| G9920 | Screening performed and negative | <1% | 77 | $2K |
| 87430 | <1% | 217 | $2K | |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | <1% | 92 | $2K |
| 86580 | <1% | 179 | $1K | |
| 17000 | <1% | 15 | $1K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 437 | $1K |
| 85018 | <1% | 1,191 | $1K | |
| H1001 | Prenatal care, at-risk enhanced service; antepartum management | <1% | 156 | $1K |
| 81025 | <1% | 998 | $1K | |
| H1003 | Prenatal care, at-risk enhanced service; education | <1% | 58 | $983.97 |
| T1015 | A visit at a community health center or clinic (one all-in rate) | <1% | 24 | $893.75 |
| 94010 | <1% | 34 | $770.25 | |
| G9919 | Screening performed and positive and provision of recommendations | <1% | 30 | $638.00 |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 109 | $614.97 |
| 90686 | <1% | 29 | $585.00 | |
| 87070 | <1% | 210 | $580.73 | |
| 96127 | <1% | 4,101 | $252.04 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 2,408 | $20.05 |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | <1% | 989 | $7.41 |
| Q0091 | Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory | <1% | 84 | $0.13 |
| 83001 | <1% | 15 | $0.04 | |
| 84403 | <1% | 13 | $0.04 | |
| S9470 | Nutritional counseling, dietitian visit | <1% | 1,559 | $0.01 |
| 3700F | 0% | 5,085 | $0.00 | |
| 1036F | 0% | 3,965 | $0.00 | |
| 1000F | 0% | 4,230 | $0.00 | |
| 1034F | 0% | 219 | $0.00 | |
| 59400 | Routine obstetric care including antepartum care, vaginal delivery, and postpartum care | 0% | 91 | $0.00 |
| 0012A | 0% | 27 | $0.00 | |
| H0049 | Alcohol and/or drug screening | 0% | 18 | $0.00 |
| 0011A | 0% | 48 | $0.00 | |
| 0502F | 0% | 20 | $0.00 | |
| 2028F | 0% | 246 | $0.00 | |
| 99071 | 0% | 65 | $0.00 | |
| 99173 | 0% | 402 | $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) | 0% | 16 | $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.