Rocha Rodriguez, Rene

Rocha Rodriguez, Rene was paid $232K by Medicaid between Jan 2018 and Nov 2024, across 5 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 46% of everything it billed.

33Billing provider infoROCHA RODRIGUEZ, RENE
ARECIBO, PR 00612

33aNPI1235236670assigned 09/20/2006

33bProvider typeGastroenterology Physician

28Total paid$232K

24GClaims3,213

24DCodes billed5

24AFirst – last monthJan 2018 – Nov 2024

Compared with peers

Next to other Gastroenterology Physician providers in Puerto Rico

Rank by total paid#41 of 107

Median peer was paid$47K

This provider vs. median5.0×

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	901	$40K
2019	277	$5K
2020	336	$9K
2021	484	$35K
2022	432	$48K
2023	468	$57K
2024incomplete	315	$37K

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	46%	2,458	2,369	$107K
43239	Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple	32%	266	259	$75K
45380	Colonoscopy, flexible; with biopsy, single or multiple	19%	244	230	$44K
99232	Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity	1.7%	148	82	$4K
99222	Initial hospital care, per day, moderate complexity	1.2%	97	94	$3K

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.