Medicaid Provider Spending

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

MIDDLE TENNESSEE PULMONARY ASSOCIATES, LLC

NPI: 1215008032 · HERMITAGE, TN 37076 · Medical Physician Assistant · NPI assigned 11/13/2006

$1.10M
Total Medicaid Paid
34,168
Total Claims
17,092
Beneficiaries
21
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialRODRIGUEZ, ORLANDO (OWNER)
NPI Enumeration Date11/13/2006

Related Entities

Other providers sharing the same authorized official: RODRIGUEZ, ORLANDO

ProviderCityStateTotal Paid
RODRIGUEZ TORRECILLA LLC MIAMI FL $2.13M
JMH INTERNAL MEDICINE SPECIALIST LLC PALMETTO BAY FL $30K
DR ORLANDO RODRIGUEZ MD LLC MIDDLEBURG HEIGHTS OH $22K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 6,054 $166K
2019 5,839 $165K
2020 5,164 $166K
2021 5,166 $192K
2022 5,146 $177K
2023 5,044 $170K
2024 1,755 $66K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 7,359 2,723 $467K
99233 Prolong inpt eval add15 m 15,160 6,658 $384K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 3,760 3,238 $93K
99232 Subsequent hospital care, per day, moderate complexity 4,795 1,900 $83K
99215 Prolong outpt/office vis 1,637 1,362 $61K
99223 Prolong inpt eval add15 m 95 79 $6K
99238 Hospital discharge day management, 30 minutes or less 80 70 $1K
99406 409 347 $1K
99239 Hospital discharge day management, more than 30 minutes 48 43 $1K
94060 62 57 $1K
94729 63 58 $1K
94726 63 58 $1K
99292 41 24 $1K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 15 13 $950.45
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 28 26 $516.31
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 13 12 $183.03
J1040 Injection, methylprednisolone acetate, 80 mg 13 12 $145.64
G2012 Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion 29 15 $8.36
1123F 382 307 $0.00
1124F 67 53 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 49 37 $0.00