Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Rodriguez, Nelson

Rodriguez, Nelson was paid $568K by Medicaid between Apr 2018 and Dec 2024, across 11 billing codes. Its largest line is 93306, Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete — 44% of everything it billed.

33Billing provider infoRODRIGUEZ, NELSON
SAN GERMAN, PR 00683
33aNPI1336216639assigned 11/29/2006
28Total paid$568K
24GClaims6,747
24DCodes billed11
24AFirst – last monthApr 2018 – Dec 2024
Compared with peers

Next to other Cardiovascular Disease Physician providers in Puerto Rico

Rank by total paid#35 of 174
Median peer was paid$109K
This provider vs. median5.2×

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

$0$20K$40K$60K2018201920202021202220232024
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
YearClaimsPaid
201819$1K
20232,415$148K
2024incomplete4,313$419K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 44% 1,300 910 $248K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 15% 1,385 980 $87K
99204 Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 12% 601 427 $66K
93015 9.8% 533 382 $56K
93224 6.4% 353 260 $36K
99222 Initial hospital care, per day, moderate complexity 4.5% 232 150 $26K
93458 4.1% 19 13 $23K
93000 3.9% 1,389 978 $22K
99232 Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity <1% 47 30 $5K
3074F 0% 435 323 $0.00
3078F 0% 453 335 $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.