Physician
Rogelio Machuca MD Family Medicine, PLLC
Rogelio Machuca MD Family Medicine, PLLC was paid $2.73M by Medicaid between Jan 2018 and Dec 2024, across 45 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 79% of everything it billed.
33Billing provider infoROGELIO MACHUCA MD FAMILY MEDICINE, PLLC
LAS VEGAS, NV 89101
LAS VEGAS, NV 89101
33aNPI1235412073assigned 09/27/2011
33bProvider typeFamily Medicine Physician
28Total paid$2.73M
24GClaims80,198
24DCodes billed45
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Family Medicine Physician providers in Nevada
Rank by total paid#14 of 388
Median peer was paid$27K
This provider vs. median103×
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 | 6,972 | $89K | |
| 2019 | 17,924 | $469K | |
| 2020 | 11,951 | $559K | |
| 2021 | 16,530 | $521K | |
| 2022 | 14,834 | $574K | |
| 2023 | 7,935 | $303K | |
| 2024incomplete | 4,052 | $216K |
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 | 79% | 50,771 | 35,869 | $2.17M |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 6.6% | 2,737 | 2,346 | $180K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 3.4% | 3,163 | 2,362 | $94K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 2.3% | 6,188 | 3,272 | $63K |
| 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 | 1.7% | 999 | 676 | $47K |
| 99442 | 1.3% | 1,753 | 1,220 | $37K | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 1.2% | 409 | 364 | $33K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 296 | 272 | $23K |
| G0438 | Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit | <1% | 232 | 205 | $17K |
| 93000 | <1% | 1,786 | 1,362 | $14K | |
| 99386 | <1% | 113 | 96 | $9K | |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | <1% | 242 | 206 | $9K |
33 more codes
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 459 | $6K |
| 99385 | <1% | 54 | $6K | |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 2,943 | $5K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 98 | $5K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 337 | $4K |
| 96360 | Intravenous infusion, hydration; initial, 31 minutes to 1 hour | <1% | 58 | $2K |
| 20552 | <1% | 104 | $2K | |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | <1% | 628 | $1K |
| 87428 | <1% | 164 | $827.09 | |
| Q0091 | Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory | <1% | 51 | $688.97 |
| 81025 | <1% | 139 | $597.53 | |
| 99492 | <1% | 31 | $591.05 | |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 402 | $574.85 |
| 81002 | <1% | 624 | $517.34 | |
| 99490 | Ccm add 20min | <1% | 124 | $431.06 |
| 99441 | <1% | 15 | $307.28 | |
| J3420 | Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg | <1% | 761 | $290.71 |
| 96361 | Intravenous infusion, hydration; each additional hour | <1% | 15 | $155.63 |
| 87400 | <1% | 53 | $143.14 | |
| 3074F | <1% | 1,385 | $100.00 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 62 | $73.62 |
| 81003 | <1% | 111 | $72.45 | |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 17 | $45.56 |
| 96127 | <1% | 19 | $34.30 | |
| J7030 | Infusion, normal saline solution , 1000 cc | <1% | 26 | $32.98 |
| 3077F | <1% | 349 | $5.00 | |
| J2001 | Injection, lidocaine hcl for intravenous infusion, 10 mg | <1% | 49 | $0.40 |
| 3075F | 0% | 380 | $0.00 | |
| 3079F | 0% | 596 | $0.00 | |
| 3080F | 0% | 163 | $0.00 | |
| Q3014 | Telehealth originating site facility fee | 0% | 12 | $0.00 |
| 3078F | 0% | 1,263 | $0.00 | |
| 0232T | 0% | 17 | $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.
From NPPES
Who's on the registration
Authorized officialMACHUCA, ROGELIO (PHYSICIAN)
| Provider | Location | Paid |
|---|---|---|
| Rogelio Machuca MD Family Medicine, PLLC | Las Vegas, NV | $1.60M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.