Sierra-Rodriguez, Carlos

Sierra-Rodriguez, Carlos was paid $258K by Medicaid between Jun 2018 and Dec 2024, across 12 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 40% of everything it billed.

33Billing provider infoSIERRA-RODRIGUEZ, CARLOS
MATTOON, IL 61938

33aNPI1700865268assigned 01/12/2006

33bProvider typeObstetrics & Gynecology Physician

28Total paid$258K

24GClaims4,393

24DCodes billed12

24AFirst – last monthJun 2018 – Dec 2024

Compared with peers

Next to other Obstetrics & Gynecology Physician providers in Illinois

Rank by total paid#133 of 911

Median peer was paid$41K

This provider vs. median6.4×

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	39	$2K
2019	515	$21K
2020	988	$45K
2021	963	$48K
2022	862	$42K
2023	287	$15K
2024incomplete	739	$86K

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	40%	1,367	1,095	$104K
0502F		30%	1,738	1,161	$77K
76830	Ultrasound, transvaginal	13%	539	509	$33K
76816	Ultrasound, pregnant uterus, real time with image documentation, follow-up	7.7%	294	224	$20K
76819	Fetal biophysical profile; without non-stress testing	2.7%	169	69	$7K
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	2.3%	75	69	$6K
59430		2.2%	33	26	$6K
76805	Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation	1.2%	40	27	$3K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	<1%	42	38	$967.65
76801		<1%	14	14	$812.47
81025		<1%	68	50	$291.75
81002		<1%	14	13	$36.40

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.