Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Rodriguez, Francisco

Rodriguez, Francisco was paid $27K by Medicaid between Apr 2019 and Oct 2024, across 6 billing codes. Its largest line is 99233, hospital visit by a doctor, follow-up day (complex) — 70% of everything it billed.

33Billing provider infoRODRIGUEZ, FRANCISCO
MOCA, PR 00676
33aNPI1710161104assigned 12/21/2007
28Total paid$27K
24GClaims1,407
24DCodes billed6
24AFirst – last monthApr 2019 – Oct 2024
Compared with peers

Next to other General Practice Physician providers in Puerto Rico

Rank by total paid#308 of 1,195
Median peer was paid$2K
This provider vs. median13×

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

$0$5.0K$10K$15K2018201920202021202220232024
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
YearClaimsPaid
2019157$0.00
2020369$740.00
2021604$6K
2023207$5K
2024incomplete70$16K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99233 Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m 70% 173 91 $19K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 15% 273 249 $4K
99239 Hospital discharge day management, more than 30 minutes 8.6% 125 76 $2K
99222 Initial hospital care, per day, moderate complexity 6.8% 117 71 $2K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 0% 338 298 $0.00
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 0% 381 329 $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.