Rodolfo L. Rodriguez, O.D., P.A.
Rodolfo L. Rodriguez, O.D., P.A. was paid $20K by Medicaid between Jan 2018 and Sep 2024, across 20 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 68% of everything it billed.
33Billing provider infoRODOLFO L. RODRIGUEZ, O.D., P.A.
NORTH BERGEN, NJ 07047
NORTH BERGEN, NJ 07047
33aNPI1720319379assigned 01/21/2010
33bProvider typeOptometrist
28Total paid$20K
24GClaims2,804
24DCodes billed20
24AFirst – last monthJan 2018 – Sep 2024
Compared with peers
Next to other Optometrist providers in New Jersey
Rank by total paid#191 of 599
Median peer was paid$2K
This provider vs. median11×
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 | 476 | $14K | |
| 2019 | 131 | $3K | |
| 2020 | 463 | $741.33 | |
| 2021 | 1,055 | $2K | |
| 2022 | 463 | $515.59 | |
| 2023 | 189 | $296.10 | |
| 2024incomplete | 27 | $0.00 |
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 | 68% | 664 | 638 | $14K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 26% | 177 | 177 | $5K |
| 92250 | 2.3% | 38 | 38 | $452.05 | |
| 92020 | 2.0% | 39 | 39 | $402.45 | |
| 92015 | Determination of refractive state | <1% | 96 | 96 | $178.36 |
| 92083 | <1% | 30 | 30 | $117.20 | |
| 92133 | <1% | 27 | 27 | $76.04 | |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 171 | 170 | $0.00 |
| 1036F | 0% | 218 | 216 | $0.00 | |
| G9903 | Patient screened for tobacco use and identified as a tobacco non-user | 0% | 219 | 217 | $0.00 |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 159 | 157 | $0.00 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 241 | 239 | $0.00 |
8 more codes
| G8752 | Most recent systolic blood pressure < 140 mmhg | 0% | 183 | $0.00 |
| G8482 | Influenza immunization administered or previously received | 0% | 176 | $0.00 |
| 4040F | 0% | 137 | $0.00 | |
| G8783 | Normal blood pressure reading documented, follow-up not required | 0% | 92 | $0.00 |
| V2020 | Frames, purchases | 0% | 37 | $0.00 |
| G8731 | Pain assessment using a standardized tool is documented as negative, no follow-up plan required | 0% | 45 | $0.00 |
| 1124F | 0% | 42 | $0.00 | |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 0% | 13 | $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.
From NPPES
Who's on the registration
Authorized officialRODRIGUEZ, RODOLFO (PRESIDENT/PHYSICIAN)