Rodriguez, Gustavo
Rodriguez, Gustavo was paid $34K by Medicaid between Feb 2021 and Aug 2024, across 5 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 50% of everything it billed.
33Billing provider infoRODRIGUEZ, GUSTAVO
TOPPENISH, WA 98948
TOPPENISH, WA 98948
33aNPI1558837021assigned 10/22/2018
33bProvider typeOptometrist
28Total paid$34K
24GClaims1,128
24DCodes billed5
24AFirst – last monthFeb 2021 – Aug 2024
Compared with peers
Next to other Optometrist providers in Washington
Rank by total paid#246 of 565
Median peer was paid$23K
This provider vs. median1.5×
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 | |
|---|---|---|---|
| 2021 | 280 | $7K | |
| 2022 | 306 | $7K | |
| 2023 | 329 | $11K | |
| 2024incomplete | 213 | $9K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 50% | 266 | 265 | $17K |
| V2020 | Frames, purchases | 21% | 284 | 269 | $7K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 21% | 75 | 75 | $7K |
| 92015 | Determination of refractive state | 6.8% | 491 | 484 | $2K |
| V2200 | Sphere, bifocal, plano to plus or minus 4.00d, per lens | 1.3% | 12 | 12 | $452.40 |
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.