Guerra Rodas, Daniel

Guerra Rodas, Daniel was paid $462K by Medicaid between Jan 2018 and Jul 2023, across 12 billing codes. Its largest line is 99233, hospital visit by a doctor, follow-up day (complex) — 52% of everything it billed.

33Billing provider infoGUERRA RODAS, DANIEL
MADISON, WI 53792

33aNPI1780948703assigned 06/25/2012

33bProvider typeNephrology Physician

28Total paid$462K

24GClaims17,182

24DCodes billed12

24AFirst – last monthJan 2018 – Jul 2023

Compared with peers

Next to other Nephrology Physician providers in Wisconsin

Rank by total paid#3 of 9

Median peer was paid$94K

This provider vs. median4.9×

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	2,572	$40K
2019	2,993	$54K
2020	3,247	$93K
2021	2,646	$100K
2022	3,778	$122K
2023	1,946	$53K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99233	Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m	52%	9,325	2,400	$241K
99232	Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity	21%	3,340	886	$95K
90935	Hemodialysis procedure with single evaluation by a physician	10%	2,066	569	$48K
99223	Prolong inpt eval add15 m	7.5%	1,133	1,060	$35K
99255		6.1%	333	310	$28K
90966		1.6%	53	53	$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	<1%	90	76	$4K
90970		<1%	739	41	$3K
99238	Hospital discharge day management, 30 minutes or less	<1%	57	56	$948.80
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	<1%	15	14	$216.66
99406		<1%	19	14	$72.56
99309	Subsequent nursing facility care, per day, low to moderate complexity	<1%	12	12	$46.80

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.