Physician
Daniella Rodriguez-Rico M.D. PA
Daniella Rodriguez-Rico M.D. PA was paid $2.05M by Medicaid between Jul 2020 and Dec 2024, across 81 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 19% of everything it billed.
33Billing provider infoDANIELLA RODRIGUEZ-RICO M.D. PA
EDINBURG, TX 78539
EDINBURG, TX 78539
33aNPI1285106005assigned 12/18/2018
33bProvider typePediatrics Physician
28Total paid$2.05M
24GClaims111,242
24DCodes billed81
24AFirst – last monthJul 2020 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Texas
Rank by total paid#244 of 1,136
Median peer was paid$329K
This provider vs. median6.2×
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 | |
|---|---|---|---|
| 2020 | 3,538 | $62K | |
| 2021 | 24,121 | $440K | |
| 2022 | 29,748 | $552K | |
| 2023 | 31,046 | $533K | |
| 2024incomplete | 22,789 | $463K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 19% | 7,796 | 6,660 | $392K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 13% | 7,734 | 6,688 | $275K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 9.7% | 2,582 | 2,527 | $199K |
| S8301 | Infection control supplies, not otherwise specified | 9.2% | 14,759 | 11,360 | $188K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 8.7% | 2,411 | 2,216 | $179K |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | 8.6% | 4,785 | 4,363 | $176K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 6.2% | 11,885 | 5,055 | $127K |
| 99429 | 4.2% | 2,859 | 2,826 | $86K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 3.9% | 992 | 968 | $81K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 3.4% | 6,008 | 2,756 | $70K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 3.1% | 5,336 | 4,832 | $64K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 2.3% | 5,824 | 4,638 | $47K |
69 more codes
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 714 | $17K |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 2,120 | $16K |
| 92587 | <1% | 1,897 | $15K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 167 | $14K |
| 90480 | <1% | 371 | $11K | |
| 90461 | <1% | 1,925 | $10K | |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 1,658 | $10K |
| 0081A | <1% | 174 | $7K | |
| 0082A | <1% | 171 | $7K | |
| 83655 | <1% | 717 | $6K | |
| 0173A | <1% | 159 | $6K | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 65 | $5K |
| 0072A | <1% | 137 | $5K | |
| 0071A | <1% | 129 | $5K | |
| 99000 | <1% | 547 | $5K | |
| 0154A | <1% | 72 | $3K | |
| 0083A | <1% | 65 | $3K | |
| 99381 | <1% | 25 | $2K | |
| 0002A | <1% | 49 | $2K | |
| 96380 | <1% | 110 | $2K | |
| 0001A | <1% | 47 | $2K | |
| 0073A | <1% | 44 | $2K | |
| 0004A | <1% | 47 | $2K | |
| 81002 | <1% | 627 | $2K | |
| G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | <1% | 64 | $1K |
| G9716 | Bmi is documented as being outside of normal parameters, follow-up plan is not completed for documented medical reason | <1% | 2,073 | $1K |
| 90677 | <1% | 306 | $1K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 70 | $954.85 |
| 99050 | <1% | 72 | $877.24 | |
| 91318 | <1% | 208 | $829.50 | |
| G0271 | Medical nutrition therapy, reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition, or treatment regimen (including additional hours needed for renal disease), group (2 or more individuals), each 30 minutes | <1% | 2,118 | $778.91 |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 59 | $603.17 |
| 96160 | <1% | 524 | $597.44 | |
| 0124A | <1% | 15 | $491.20 | |
| 90473 | <1% | 206 | $247.50 | |
| 91319 | <1% | 50 | $238.00 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 16 | $167.62 |
| 99051 | <1% | 544 | $89.64 | |
| 99001 | <1% | 30 | $48.60 | |
| 90686 | <1% | 2,468 | $38.71 | |
| 96161 | <1% | 2,276 | $25.31 | |
| 94760 | <1% | 13 | $6.46 | |
| 36416 | <1% | 948 | $3.50 | |
| 84030 | <1% | 94 | $0.85 | |
| 90671 | <1% | 112 | $0.03 | |
| 90651 | <1% | 24 | $0.02 | |
| 90670 | <1% | 1,277 | $0.01 | |
| 99177 | 0% | 492 | $0.00 | |
| 90707 | 0% | 74 | $0.00 | |
| 90648 | 0% | 1,401 | $0.00 | |
| 90633 | 0% | 731 | $0.00 | |
| 90700 | 0% | 211 | $0.00 | |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | 0% | 680 | $0.00 |
| 90710 | 0% | 12 | $0.00 | |
| 99173 | 0% | 775 | $0.00 | |
| 90380 | 0% | 19 | $0.00 | |
| 90723 | 0% | 969 | $0.00 | |
| 90698 | 0% | 50 | $0.00 | |
| 90680 | 0% | 1,249 | $0.00 | |
| 96127 | 0% | 3,153 | $0.00 | |
| S9451 | Exercise classes, non-physician provider, per session | 0% | 2,113 | $0.00 |
| 90697 | 0% | 167 | $0.00 | |
| 90716 | 0% | 87 | $0.00 | |
| 90656 | 0% | 307 | $0.00 | |
| 90744 | 0% | 31 | $0.00 | |
| 90381 | 0% | 65 | $0.00 | |
| 90657 | 0% | 54 | $0.00 | |
| 90696 | 0% | 12 | $0.00 | |
| 99070 | 0% | 15 | $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 officialRODRIGUEZ-RICO, DANIELLA (MD OWNER)