Medicaid Provider Spending

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

VERGEL DE DIOS, RODERICK

NPI: 1528072014 · MCALLEN, TX 78504 · Family Medicine Physician · NPI assigned 07/28/2006

$496K
Total Medicaid Paid
16,594
Total Claims
12,233
Beneficiaries
36
Codes Billed
2018-01
First Month
2024-11
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal 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
2024 740 $30K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99444 3,481 865 $197K
99222 Initial hospital care, per day, moderate complexity 1,975 1,794 $135K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 4,685 3,858 $74K
99423 802 231 $46K
99215 Prolong outpt/office vis 288 281 $10K
99221 157 151 $9K
99091 733 732 $8K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 437 417 $6K
99232 Subsequent hospital care, per day, moderate complexity 122 90 $5K
93975 12 12 $2K
99422 50 40 $1K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 939 916 $805.88
90756 189 183 $688.41
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 53 50 $211.11
81003 821 799 $203.46
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 30 25 $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 261 261 $194.22
99050 13 12 $179.73
80061 Lipid panel 361 360 $139.42
80053 Comprehensive metabolic panel 639 633 $114.21
95816 16 13 $64.00
85651 106 104 $36.23
83036 Hemoglobin; glycosylated (A1C) 55 55 $31.44
95930 16 13 $23.20
96132 16 13 $23.00
93040 13 13 $2.60
96138 16 13 $0.00
82570 15 15 $0.00
95957 16 13 $0.00
92653 16 13 $0.00
G0008 Administration of influenza virus vaccine 176 176 $0.00
36415 Collection of venous blood by venipuncture 12 12 $0.00
96139 13 13 $0.00
90674 29 29 $0.00
82043 15 15 $0.00
92650 16 13 $0.00