Medicaid Provider Spending

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

DANIELLA RODRIGUEZ-RICO M.D. PA

NPI: 1285106005 · EDINBURG, TX 78539 · Pediatrics Physician · NPI assigned 12/18/2018

$2.05M
Total Medicaid Paid
111,242
Total Claims
90,316
Beneficiaries
81
Codes Billed
2020-07
First Month
2024-12
Last Month

Provider Details

Authorized OfficialRODRIGUEZ-RICO, DANIELLA (MD OWNER)
NPI Enumeration Date12/18/2018

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 3,538 $62K
2021 24,121 $440K
2022 29,748 $552K
2023 31,046 $533K
2024 22,789 $463K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 7,796 6,660 $392K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 7,734 6,688 $275K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 2,582 2,527 $199K
S8301 Infection control supplies, not otherwise specified 14,759 11,360 $188K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 2,411 2,216 $179K
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) 4,785 4,363 $176K
90460 Immunization administration through 18 years of age via any route, first or only component 11,885 5,055 $127K
99429 2,859 2,826 $86K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 992 968 $81K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 6,008 2,756 $70K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 5,336 4,832 $64K
96110 Developmental screening, with scoring and documentation, per standardized instrument 5,824 4,638 $47K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 714 678 $17K
G8510 Screening for depression is documented as negative, a follow-up plan is not required 2,120 1,796 $16K
92587 1,897 1,835 $15K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 167 165 $14K
90480 371 358 $11K
90461 1,925 1,528 $10K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 1,658 1,600 $10K
0081A 174 174 $7K
0082A 171 168 $7K
83655 717 709 $6K
0173A 159 157 $6K
99215 Prolong outpt/office vis 65 63 $5K
0072A 137 135 $5K
0071A 129 128 $5K
99000 547 504 $5K
0154A 72 72 $3K
0083A 65 65 $3K
99381 25 25 $2K
0002A 49 49 $2K
96380 110 104 $2K
0001A 47 46 $2K
0073A 44 43 $2K
0004A 47 45 $2K
81002 627 598 $2K
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 64 62 $1K
G9716 Bmi is documented as being outside of normal parameters, follow-up plan is not completed for documented medical reason 2,073 2,037 $1K
90677 306 299 $1K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 70 48 $954.85
99050 72 72 $877.24
91318 208 202 $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 2,118 2,077 $778.91
90472 Immunization administration, each additional vaccine (list separately) 59 29 $603.17
96160 524 500 $597.44
0124A 15 15 $491.20
90473 206 199 $247.50
91319 50 49 $238.00
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 16 12 $167.62
99051 544 517 $89.64
99001 30 26 $48.60
90686 2,468 2,442 $38.71
96161 2,276 1,911 $25.31
94760 13 12 $6.46
36416 948 905 $3.50
84030 94 92 $0.85
90671 112 110 $0.03
90651 24 24 $0.02
90670 1,277 1,271 $0.01
99177 492 484 $0.00
90707 74 74 $0.00
90648 1,401 1,391 $0.00
90633 731 725 $0.00
90700 211 206 $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) 680 587 $0.00
90710 12 12 $0.00
99173 775 764 $0.00
90380 19 19 $0.00
90723 969 961 $0.00
90698 50 49 $0.00
90680 1,249 1,238 $0.00
96127 3,153 2,159 $0.00
S9451 Exercise classes, non-physician provider, per session 2,113 2,074 $0.00
90697 167 166 $0.00
90716 87 87 $0.00
90656 307 305 $0.00
90744 31 30 $0.00
90381 65 61 $0.00
90657 54 53 $0.00
90696 12 12 $0.00
99070 15 14 $0.00