Medicaid Provider Spending

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

DR JOSE T APONTE RODRIGUEZ MD PC

NPI: 1417457714 · BRONX, NY 10457 · Pediatric Adolescent Medicine Physician · NPI assigned 02/14/2018

$262K
Total Medicaid Paid
120,422
Total Claims
115,456
Beneficiaries
99
Codes Billed
2018-08
First Month
2024-12
Last Month

Provider Details

Authorized OfficialAPONTE RODRIGUEZ, JOSE (ATTENDING PHYSICIAN)
NPI Enumeration Date02/14/2018

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 492 $6K
2019 4,116 $26K
2020 16,326 $39K
2021 16,311 $32K
2022 20,227 $39K
2023 31,786 $69K
2024 31,164 $52K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
90460 Immunization administration through 18 years of age via any route, first or only component 6,640 6,348 $140K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 11,481 10,269 $31K
G0447 Face-to-face behavioral counseling for obesity, 15 minutes 1,136 1,133 $17K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 819 772 $11K
96110 Developmental screening, with scoring and documentation, per standardized instrument 4,109 4,083 $10K
92587 649 647 $10K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 10,093 8,922 $6K
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 1,273 1,273 $5K
G8510 Screening for depression is documented as negative, a follow-up plan is not required 3,527 3,299 $4K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 998 943 $4K
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit 760 760 $4K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 1,220 1,216 $3K
92551 2,864 2,864 $2K
86580 253 253 $2K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 908 908 $2K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 589 589 $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 2,150 2,087 $2K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 380 380 $970.83
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 945 861 $879.25
97802 5,568 5,442 $745.85
90686 2,554 2,542 $682.38
90461 1,135 1,128 $537.56
99407 53 53 $420.19
G0442 Annual alcohol misuse screening, 5 to 15 minutes 133 133 $366.08
99441 57 49 $352.13
36415 Collection of venous blood by venipuncture 4,821 4,671 $315.85
99442 13 13 $276.32
99173 3,056 3,053 $234.18
H0049 Alcohol and/or drug screening 1,232 1,232 $219.06
G0444 Annual depression screening, 5 to 15 minutes 153 152 $201.28
S9451 Exercise classes, non-physician provider, per session 2,857 2,853 $200.00
90670 394 394 $200.00
S9470 Nutritional counseling, dietitian visit 1,857 1,853 $200.00
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 1,119 1,109 $146.38
81000 2,362 2,325 $131.92
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 33 33 $122.88
85018 72 72 $122.67
S9452 Nutrition classes, non-physician provider, per session 1,633 1,631 $100.00
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 386 384 $84.80
S9449 Weight management classes, non-physician provider, per session 1,511 1,509 $80.00
G0473 Face-to-face behavioral counseling for obesity, group (2-10), 30 minutes 577 576 $80.00
83655 441 437 $69.85
90715 66 66 $56.42
99401 1,784 1,781 $46.16
81002 434 426 $28.56
G8783 Normal blood pressure reading documented, follow-up not required 1,311 1,287 $10.00
85025 Blood count; complete (CBC), automated, and automated differential WBC count 140 139 $0.43
G8708 Patient not prescribed antibiotic 2,758 2,560 $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) 2,476 2,458 $0.00
H0001 Alcohol and/or drug assessment 1,194 1,190 $0.00
90697 211 209 $0.00
3008F 2,603 2,588 $0.00
1000F 511 509 $0.00
G9275 Documentation that patient is a current non-tobacco user 1,163 1,163 $0.00
G8420 Bmi is documented within normal parameters and no follow-up plan is required 2,162 2,148 $0.00
2010F 648 646 $0.00
G9903 Patient screened for tobacco use and identified as a tobacco non-user 1,005 963 $0.00
0001F 2,061 2,055 $0.00
90651 443 443 $0.00
0001A 18 18 $0.00
4293F 303 303 $0.00
90677 130 130 $0.00
87081 527 516 $0.00
1036F 447 434 $0.00
87430 53 52 $0.00
90680 296 294 $0.00
90656 276 276 $0.00
90696 15 15 $0.00
36416 55 55 $0.00
90620 77 77 $0.00
90698 26 26 $0.00
90716 41 41 $0.00
1031F 13 13 $0.00
1220F 13 13 $0.00
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 50 49 $0.00
99383 13 13 $0.00
90671 133 133 $0.00
G8482 Influenza immunization administered or previously received 2,179 2,127 $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) 5,857 4,912 $0.00
90710 14 14 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 882 874 $0.00
G9622 Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method 211 209 $0.00
1159F 1,921 1,915 $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 356 355 $0.00
90648 44 44 $0.00
3016F 62 60 $0.00
90633 335 335 $0.00
G9820 Documentation of a chlamydia screening test with proper follow-up 1,041 1,030 $0.00
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism 15 15 $0.00
3725F 623 620 $0.00
3210F 237 229 $0.00
1033F 14 14 $0.00
90707 13 13 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 60 60 $0.00
91300 43 42 $0.00
90700 16 16 $0.00
90734 127 127 $0.00
G9744 Patient not eligible due to active diagnosis of hypertension 45 45 $0.00
99408 60 60 $0.00