Physician
Vergel De Dios, Roderick
Vergel De Dios, Roderick was paid $496K by Medicaid between Jan 2018 and Nov 2024, across 36 billing codes. Its largest line is 99444, — 40% of everything it billed.
33Billing provider infoVERGEL DE DIOS, RODERICK
MCALLEN, TX 78504
MCALLEN, TX 78504
33aNPI1528072014assigned 07/28/2006
33bProvider typeFamily Medicine Physician
28Total paid$496K
24GClaims16,594
24DCodes billed36
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Family Medicine Physician providers in Texas
Rank by total paid#179 of 1,204
Median peer was paid$31K
This provider vs. median16×
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 | 3,848 | $108K | |
| 2019 | 3,581 | $106K | |
| 2020 | 2,095 | $45K | |
| 2021 | 2,840 | $82K | |
| 2022 | 1,802 | $64K | |
| 2023 | 1,688 | $63K | |
| 2024incomplete | 740 | $30K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99444 | 40% | 3,481 | 865 | $197K | |
| 99222 | Initial hospital care, per day, moderate complexity | 27% | 1,975 | 1,794 | $135K |
| 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% | 4,685 | 3,858 | $74K |
| 99423 | 9.2% | 802 | 231 | $46K | |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 2.0% | 288 | 281 | $10K |
| 99221 | 1.7% | 157 | 151 | $9K | |
| 99091 | 1.7% | 733 | 732 | $8K | |
| 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 | 1.3% | 437 | 417 | $6K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 1.0% | 122 | 90 | $5K |
| 93975 | <1% | 12 | 12 | $2K | |
| 99422 | <1% | 50 | 40 | $1K | |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 939 | 916 | $805.88 |
24 more codes
| 90756 | <1% | 189 | $688.41 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 53 | $211.11 |
| 81003 | <1% | 821 | $203.46 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 30 | $197.20 |
| G0179 | Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care | <1% | 261 | $194.22 |
| 99050 | <1% | 13 | $179.73 | |
| 80061 | Lipid panel | <1% | 361 | $139.42 |
| 80053 | Comprehensive metabolic panel | <1% | 639 | $114.21 |
| 95816 | <1% | 16 | $64.00 | |
| 85651 | <1% | 106 | $36.23 | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 55 | $31.44 |
| 95930 | <1% | 16 | $23.20 | |
| 96132 | <1% | 16 | $23.00 | |
| 93040 | <1% | 13 | $2.60 | |
| 96138 | 0% | 16 | $0.00 | |
| 82570 | 0% | 15 | $0.00 | |
| 95957 | 0% | 16 | $0.00 | |
| 92653 | 0% | 16 | $0.00 | |
| G0008 | Administration of influenza virus vaccine | 0% | 176 | $0.00 |
| 36415 | Collection of venous blood by venipuncture | 0% | 12 | $0.00 |
| 96139 | 0% | 13 | $0.00 | |
| 90674 | 0% | 29 | $0.00 | |
| 82043 | 0% | 15 | $0.00 | |
| 92650 | 0% | 16 | $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.