Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Guzman, Rodolfo

Guzman, Rodolfo was paid $769K by Medicaid between Jan 2018 and Dec 2024, across 42 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 53% of everything it billed.

33Billing provider infoGUZMAN, RODOLFO
BRONX, NY 10451
33aNPI1205867835assigned 07/05/2006
28Total paid$769K
24GClaims39,063
24DCodes billed42
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Endocrinology, Diabetes & Metabolism Physician providers in New York

Rank by total paid#18 of 344
Median peer was paid$9K
This provider vs. median86×

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

$0$10K$20K2018201920202021202220232024
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
YearClaimsPaid
20184,150$102K
20195,205$98K
20205,064$69K
20216,493$108K
20225,849$133K
20236,152$142K
2024incomplete6,150$118K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 53% 6,012 5,996 $405K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 18% 3,627 3,102 $139K
76536 16% 1,389 1,386 $125K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 8.2% 603 603 $63K
93000 1.5% 817 817 $12K
82948 1.5% 4,825 4,687 $11K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years <1% 210 209 $8K
60100 <1% 26 26 $2K
76942 <1% 26 26 $2K
36415 Collection of venous blood by venipuncture <1% 8,286 8,241 $1K
3078F <1% 3,195 3,182 $640.49
H0001 Alcohol and/or drug assessment <1% 371 371 $320.85
30 more codes
3074F <1% 2,050 $237.86
99397 <1% 24 $197.14
3077F <1% 508 $72.50
3079F <1% 452 $20.00
3075F <1% 336 $15.00
3044F <1% 276 $1.00
G9622 Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method <1% 292 $0.19
G8510 Screening for depression is documented as negative, a follow-up plan is not required <1% 201 $0.11
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit <1% 141 $0.03
3008F <1% 374 $0.03
2028F 0% 583 $0.00
G8752 Most recent systolic blood pressure < 140 mmhg 0% 992 $0.00
3045F 0% 26 $0.00
3725F 0% 405 $0.00
3016F 0% 284 $0.00
4013F 0% 369 $0.00
G8864 Pneumococcal vaccine administered or previously received 0% 13 $0.00
G8753 Most recent systolic blood pressure >= 140 mmhg 0% 61 $0.00
1159F 0% 73 $0.00
2022F 0% 34 $0.00
3046F 0% 12 $0.00
1036F 0% 327 $0.00
3048F 0% 85 $0.00
4010F 0% 381 $0.00
G9664 Patients who are currently statin therapy users or received an order (prescription) for statin therapy 0% 415 $0.00
1000F 0% 314 $0.00
G8473 Angiotensin converting enzyme (ace) inhibitor or angiotensin receptor blocker (arb) therapy prescribed 0% 433 $0.00
3061F 0% 159 $0.00
4037F 0% 12 $0.00
3080F 0% 44 $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.