Physician
DR Jose T Aponte Rodriguez MD PC
DR Jose T Aponte Rodriguez MD PC was paid $262K by Medicaid between Aug 2018 and Dec 2024, across 99 billing codes. Its largest line is 90460, Immunization administration through 18 years of age via any route, first or only component — 53% of everything it billed.
33Billing provider infoDR JOSE T APONTE RODRIGUEZ MD PC
BRONX, NY 10457
BRONX, NY 10457
33aNPI1417457714assigned 02/14/2018
33bProvider typePediatric Adolescent Medicine Physician
28Total paid$262K
24GClaims120,422
24DCodes billed99
24AFirst – last monthAug 2018 – Dec 2024
Compared with peers
Next to other Pediatric Adolescent Medicine Physician providers in New York
Rank by total paid#67 of 161
Median peer was paid$100K
This provider vs. median2.6×
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 | 492 | $6K | |
| 2019 | 4,116 | $26K | |
| 2020 | 16,326 | $39K | |
| 2021 | 16,311 | $32K | |
| 2022 | 20,227 | $39K | |
| 2023 | 31,786 | $69K | |
| 2024incomplete | 31,164 | $52K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 53% | 6,640 | 6,348 | $140K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 12% | 11,481 | 10,269 | $31K |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | 6.6% | 1,136 | 1,133 | $17K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 4.3% | 819 | 772 | $11K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 4.0% | 4,109 | 4,083 | $10K |
| 92587 | 3.8% | 649 | 647 | $10K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 2.2% | 10,093 | 8,922 | $6K |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 1.8% | 1,273 | 1,273 | $5K |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 1.7% | 3,527 | 3,299 | $4K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 1.6% | 998 | 943 | $4K |
| G0438 | Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit | 1.5% | 760 | 760 | $4K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 1.1% | 1,220 | 1,216 | $3K |
87 more codes
| 92551 | <1% | 2,864 | $2K | |
| 86580 | <1% | 253 | $2K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 908 | $2K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 589 | $2K |
| G0270 | 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), individual, face to face with the patient, each 15 minutes | <1% | 2,150 | $2K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 380 | $970.83 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 945 | $879.25 |
| 97802 | <1% | 5,568 | $745.85 | |
| 90686 | <1% | 2,554 | $682.38 | |
| 90461 | <1% | 1,135 | $537.56 | |
| 99407 | <1% | 53 | $420.19 | |
| G0442 | Annual alcohol misuse screening, 5 to 15 minutes | <1% | 133 | $366.08 |
| 99441 | <1% | 57 | $352.13 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 4,821 | $315.85 |
| 99442 | <1% | 13 | $276.32 | |
| 99173 | <1% | 3,056 | $234.18 | |
| H0049 | Alcohol and/or drug screening | <1% | 1,232 | $219.06 |
| G0444 | Annual depression screening, 5 to 15 minutes | <1% | 153 | $201.28 |
| S9451 | Exercise classes, non-physician provider, per session | <1% | 2,857 | $200.00 |
| 90670 | <1% | 394 | $200.00 | |
| S9470 | Nutritional counseling, dietitian visit | <1% | 1,857 | $200.00 |
| 87491 | Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe | <1% | 1,119 | $146.38 |
| 81000 | <1% | 2,362 | $131.92 | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 33 | $122.88 |
| 85018 | <1% | 72 | $122.67 | |
| S9452 | Nutrition classes, non-physician provider, per session | <1% | 1,633 | $100.00 |
| 87591 | Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe | <1% | 386 | $84.80 |
| S9449 | Weight management classes, non-physician provider, per session | <1% | 1,511 | $80.00 |
| G0473 | Face-to-face behavioral counseling for obesity, group (2-10), 30 minutes | <1% | 577 | $80.00 |
| 83655 | <1% | 441 | $69.85 | |
| 90715 | <1% | 66 | $56.42 | |
| 99401 | <1% | 1,784 | $46.16 | |
| 81002 | <1% | 434 | $28.56 | |
| G8783 | Normal blood pressure reading documented, follow-up not required | <1% | 1,311 | $10.00 |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 140 | $0.43 |
| G8708 | Patient not prescribed antibiotic | 0% | 2,758 | $0.00 |
| G8430 | Documentation of a medical reason(s) for not documenting, updating, or reviewing the patient's current medications list (e.g., patient is in an acute health crisis where time is of the essence and delay of treatment would jeopardize the patient's health status) | 0% | 2,476 | $0.00 |
| H0001 | Alcohol and/or drug assessment | 0% | 1,194 | $0.00 |
| 90697 | 0% | 211 | $0.00 | |
| 3008F | 0% | 2,603 | $0.00 | |
| 1000F | 0% | 511 | $0.00 | |
| G9275 | Documentation that patient is a current non-tobacco user | 0% | 1,163 | $0.00 |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 2,162 | $0.00 |
| 2010F | 0% | 648 | $0.00 | |
| G9903 | Patient screened for tobacco use and identified as a tobacco non-user | 0% | 1,005 | $0.00 |
| 0001F | 0% | 2,061 | $0.00 | |
| 90651 | 0% | 443 | $0.00 | |
| 0001A | 0% | 18 | $0.00 | |
| 4293F | 0% | 303 | $0.00 | |
| 90677 | 0% | 130 | $0.00 | |
| 87081 | 0% | 527 | $0.00 | |
| 1036F | 0% | 447 | $0.00 | |
| 87430 | 0% | 53 | $0.00 | |
| 90680 | 0% | 296 | $0.00 | |
| 90656 | 0% | 276 | $0.00 | |
| 90696 | 0% | 15 | $0.00 | |
| 36416 | 0% | 55 | $0.00 | |
| 90620 | 0% | 77 | $0.00 | |
| 90698 | 0% | 26 | $0.00 | |
| 90716 | 0% | 41 | $0.00 | |
| 1031F | 0% | 13 | $0.00 | |
| 1220F | 0% | 13 | $0.00 | |
| 82306 | Vitamin D; 25 hydroxy, includes fraction(s), if performed | 0% | 50 | $0.00 |
| 99383 | 0% | 13 | $0.00 | |
| 90671 | 0% | 133 | $0.00 | |
| G8482 | Influenza immunization administered or previously received | 0% | 2,179 | $0.00 |
| G8483 | Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) | 0% | 5,857 | $0.00 |
| 90710 | 0% | 14 | $0.00 | |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 882 | $0.00 |
| G9622 | Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method | 0% | 211 | $0.00 |
| 1159F | 0% | 1,921 | $0.00 | |
| 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 | 0% | 356 | $0.00 |
| 90648 | 0% | 44 | $0.00 | |
| 3016F | 0% | 62 | $0.00 | |
| 90633 | 0% | 335 | $0.00 | |
| G9820 | Documentation of a chlamydia screening test with proper follow-up | 0% | 1,041 | $0.00 |
| 87798 | Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism | 0% | 15 | $0.00 |
| 3725F | 0% | 623 | $0.00 | |
| 3210F | 0% | 237 | $0.00 | |
| 1033F | 0% | 14 | $0.00 | |
| 90707 | 0% | 13 | $0.00 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 60 | $0.00 |
| 91300 | 0% | 43 | $0.00 | |
| 90700 | 0% | 16 | $0.00 | |
| 90734 | 0% | 127 | $0.00 | |
| G9744 | Patient not eligible due to active diagnosis of hypertension | 0% | 45 | $0.00 |
| 99408 | 0% | 60 | $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 officialAPONTE RODRIGUEZ, JOSE (ATTENDING PHYSICIAN)