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

Rudolph, Joseph

Rudolph, Joseph was paid $229K by Medicaid between Jan 2018 and Jul 2020, across 17 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 24% of everything it billed.

33Billing provider infoRUDOLPH, JOSEPH
FENTON, MO 63026
33aNPI1376561464assigned 07/17/2006
33bProvider typePediatrics Physician
28Total paid$229K
24GClaims3,684
24DCodes billed17
24AFirst – last monthJan 2018 – Jul 2020
Compared with peers

Next to other Pediatrics Physician providers in Missouri

Rank by total paid#161 of 992
Median peer was paid$40K
This provider vs. median5.7×

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$5.0K$10K$15K2018201920202021202220232024
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
20181,840$113K
20191,400$86K
2020444$30K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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 24% 632 604 $55K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 22% 593 551 $50K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 17% 418 414 $40K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 17% 628 598 $38K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 7.9% 196 190 $18K
90686 3.4% 406 406 $8K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 2.6% 58 56 $6K
90670 1.9% 280 279 $4K
90698 1.8% 166 163 $4K
90685 <1% 107 105 $2K
90633 <1% 62 62 $1K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type <1% 52 26 $890.44
5 more codes
90681 <1% 28 $406.12
90734 <1% 15 $321.32
90710 <1% 12 $300.00
90744 <1% 16 $228.48
90651 <1% 15 $93.52

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.