Physician
Carlos E Rodriguez MD PA
Carlos E Rodriguez MD PA was paid $597K by Medicaid between Jan 2018 and Aug 2024, across 26 billing codes. Its largest line is S0621, Routine ophthalmological examination including refraction; established patient — 33% of everything it billed.
33Billing provider infoCARLOS E RODRIGUEZ MD PA
EAGLE PASS, TX 78852
EAGLE PASS, TX 78852
33aNPI1750406732assigned 03/20/2007
33bProvider typeOphthalmology Physician
28Total paid$597K
24GClaims30,052
24DCodes billed26
24AFirst – last monthJan 2018 – Aug 2024
Compared with peers
Next to other Ophthalmology Physician providers in Texas
Rank by total paid#18 of 231
Median peer was paid$16K
This provider vs. median38×
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 | 4,351 | $36K | |
| 2019 | 6,176 | $40K | |
| 2020 | 5,239 | $49K | |
| 2021 | 7,001 | $163K | |
| 2022 | 3,583 | $145K | |
| 2023 | 2,016 | $86K | |
| 2024incomplete | 1,686 | $78K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| S0621 | Routine ophthalmological examination including refraction; established patient | 33% | 4,694 | 4,548 | $194K |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 19% | 3,564 | 3,369 | $115K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 18% | 2,126 | 2,102 | $107K |
| S0620 | Routine ophthalmological examination including refraction; new patient | 18% | 2,554 | 2,456 | $105K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 6.4% | 529 | 527 | $38K |
| 92015 | Determination of refractive state | 4.5% | 2,154 | 2,134 | $27K |
| 92083 | <1% | 303 | 298 | $4K | |
| 92250 | <1% | 213 | 208 | $3K | |
| 92133 | <1% | 350 | 348 | $3K | |
| 1036F | 0% | 3,995 | 3,614 | $0.00 | |
| G9903 | Patient screened for tobacco use and identified as a tobacco non-user | 0% | 2,923 | 2,641 | $0.00 |
| 3284F | 0% | 345 | 339 | $0.00 |
14 more codes
| 3285F | 0% | 27 | $0.00 | |
| G8397 | Dilated macular or fundus exam performed, including documentation of the presence or absence of macular edema and level of severity of retinopathy | 0% | 367 | $0.00 |
| 3044F | 0% | 31 | $0.00 | |
| G8952 | Elevated or hypertensive blood pressure reading documented, indicated follow-up not documented, reason not given | 0% | 29 | $0.00 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 4,029 | $0.00 |
| 2027F | 0% | 732 | $0.00 | |
| 5010F | 0% | 247 | $0.00 | |
| G8785 | Blood pressure reading not documented, reason not given | 0% | 136 | $0.00 |
| 3045F | 0% | 31 | $0.00 | |
| 2022F | 0% | 185 | $0.00 | |
| 99072 | 0% | 98 | $0.00 | |
| G9744 | Patient not eligible due to active diagnosis of hypertension | 0% | 200 | $0.00 |
| 0517F | 0% | 61 | $0.00 | |
| G2102 | Dilated retinal eye exam with interpretation by an ophthalmologist or optometrist documented and reviewed | 0% | 129 | $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, CARLOS (CEO)
| Provider | Location | Paid |
|---|---|---|
| Carlos Rodriguez Ortiz MD, PA | Hialeah, FL | $8.77M |
| Salutem Medical Group, LLC | Miami, FL | $1.44M |
| Darlitian LLC | Eagle Pass, TX | $444K |
| Southwest Texas Optical | Eagle Pass, TX | $290K |
| Columbine Ridge Family Medicine P C | Brighton, CO | $26K |
| Bio-Tech Clinical Laboratories, INC | Doral, FL | $24K |
| Carlos O. Rodriguez, M.D., P.A. | Miami, FL | $19K |
| Carlos J. Rodriguez, D.P.M., M.S., P.A. | Miami, FL | $14K |
| Sur Med Medical Center | Salinas, PR | $2K |
| CR Cardiology Services PSC | Caguas, PR | $2K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.