Rodriguez, Reinaldo

Rodriguez, Reinaldo was paid $42K by Medicaid between Jan 2018 and Sep 2024, across 3 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 83% of everything it billed.

33Billing provider infoRODRIGUEZ, REINALDO
PONCE, PR 00717

33aNPI1376508754assigned 04/19/2006

33bProvider typeSurgery Physician

28Total paid$42K

24GClaims1,183

24DCodes billed3

24AFirst – last monthJan 2018 – Sep 2024

Compared with peers

Next to other Surgery Physician providers in Puerto Rico

Rank by total paid#48 of 111

Median peer was paid$28K

This provider vs. median1.5×

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	166	$4K
2019	63	$1K
2020	74	$2K
2021	229	$7K
2022	133	$6K
2023	343	$14K
2024incomplete	175	$8K

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	83%	1,043	876	$35K
99233	Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m	11%	92	45	$4K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	6.4%	48	36	$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.