Physician
Aponte Rodriguez, Jose
Aponte Rodriguez, Jose was paid $180K by Medicaid between Jan 2018 and Nov 2024, across 60 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 46% of everything it billed.
33Billing provider infoAPONTE RODRIGUEZ, JOSE
BRONX, NY 10457
BRONX, NY 10457
33aNPI1679660286assigned 10/06/2006
33bProvider typePediatric Adolescent Medicine Physician
28Total paid$180K
24GClaims12,076
24DCodes billed60
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Pediatric Adolescent Medicine Physician providers in New York
Rank by total paid#74 of 161
Median peer was paid$100K
This provider vs. median1.8×
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 | 1,638 | $52K | |
| 2019 | 1,011 | $30K | |
| 2020 | 694 | $14K | |
| 2021 | 4,903 | $44K | |
| 2022 | 327 | $4K | |
| 2023 | 2,651 | $21K | |
| 2024incomplete | 852 | $14K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 46% | 1,354 | 1,246 | $82K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 17% | 998 | 970 | $30K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 8.3% | 796 | 703 | $15K |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | 3.5% | 233 | 233 | $6K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 3.2% | 111 | 101 | $6K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 3.2% | 89 | 89 | $6K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 3.0% | 522 | 519 | $5K |
| 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 | 2.8% | 308 | 303 | $5K |
| 97802 | 2.8% | 1,131 | 1,108 | $5K | |
| 92551 | 2.1% | 452 | 452 | $4K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 1.6% | 46 | 46 | $3K |
| 92587 | <1% | 67 | 67 | $2K |
48 more codes
| 99173 | <1% | 428 | $2K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 733 | $1K |
| 99401 | <1% | 233 | $1K | |
| S9451 | Exercise classes, non-physician provider, per session | <1% | 216 | $750.00 |
| 81000 | <1% | 267 | $666.42 | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 176 | $665.55 |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 103 | $528.08 |
| H0049 | Alcohol and/or drug screening | <1% | 78 | $528.00 |
| S9470 | Nutritional counseling, dietitian visit | <1% | 213 | $448.21 |
| G0444 | Annual depression screening, 5 to 15 minutes | <1% | 28 | $390.52 |
| G0442 | Annual alcohol misuse screening, 5 to 15 minutes | <1% | 27 | $350.77 |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 12 | $349.29 |
| S9449 | Weight management classes, non-physician provider, per session | <1% | 152 | $300.00 |
| S9452 | Nutrition classes, non-physician provider, per session | <1% | 159 | $300.00 |
| H0001 | Alcohol and/or drug assessment | <1% | 72 | $288.09 |
| 87491 | Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe | <1% | 71 | $278.73 |
| 87591 | Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe | <1% | 30 | $235.73 |
| 83655 | <1% | 143 | $211.18 | |
| 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 | <1% | 30 | $36.76 |
| G8482 | Influenza immunization administered or previously received | 0% | 180 | $0.00 |
| G0438 | Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit | 0% | 26 | $0.00 |
| 90461 | 0% | 108 | $0.00 | |
| G0473 | Face-to-face behavioral counseling for obesity, group (2-10), 30 minutes | 0% | 30 | $0.00 |
| 3725F | 0% | 33 | $0.00 | |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 33 | $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% | 342 | $0.00 |
| G8783 | Normal blood pressure reading documented, follow-up not required | 0% | 74 | $0.00 |
| G9622 | Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method | 0% | 15 | $0.00 |
| 1159F | 0% | 177 | $0.00 | |
| 90671 | 0% | 15 | $0.00 | |
| G9820 | Documentation of a chlamydia screening test with proper follow-up | 0% | 41 | $0.00 |
| 90670 | 0% | 12 | $0.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 134 | $0.00 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 0% | 184 | $0.00 |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 162 | $0.00 |
| 3008F | 0% | 354 | $0.00 | |
| G8708 | Patient not prescribed antibiotic | 0% | 14 | $0.00 |
| 90686 | 0% | 193 | $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% | 274 | $0.00 |
| 0001F | 0% | 176 | $0.00 | |
| G9275 | Documentation that patient is a current non-tobacco user | 0% | 60 | $0.00 |
| G9903 | Patient screened for tobacco use and identified as a tobacco non-user | 0% | 41 | $0.00 |
| 1000F | 0% | 29 | $0.00 | |
| 90680 | 0% | 24 | $0.00 | |
| 90697 | 0% | 13 | $0.00 | |
| 90677 | 0% | 22 | $0.00 | |
| 2010F | 0% | 16 | $0.00 | |
| 4293F | 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.