Clinic
Luis Rodriguez M.D. P.A.
Luis Rodriguez M.D. P.A. was paid $2.03M by Medicaid between May 2018 and Dec 2024, across 46 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 26% of everything it billed.
33Billing provider infoLUIS RODRIGUEZ M.D. P.A.
MCALLEN, TX 78503
MCALLEN, TX 78503
33aNPI1801818786assigned 07/23/2006
33bProvider typePrimary Care Clinic/Center
28Total paid$2.03M
24GClaims76,604
24DCodes billed46
24AFirst – last monthMay 2018 – Dec 2024
Compared with peers
Next to other Primary Care Clinic/Center providers in Texas
Rank by total paid#8 of 180
Median peer was paid$25K
This provider vs. median81×
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 | 26 | $922.25 | |
| 2020 | 2,106 | $39K | |
| 2021 | 15,336 | $387K | |
| 2022 | 24,651 | $652K | |
| 2023 | 19,577 | $534K | |
| 2024incomplete | 14,908 | $421K |
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 | 26% | 13,980 | 11,967 | $523K |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | 15% | 7,429 | 6,983 | $296K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 9.3% | 2,398 | 2,361 | $189K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 8.0% | 11,901 | 5,639 | $163K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 7.7% | 1,869 | 1,854 | $156K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 7.1% | 1,770 | 1,644 | $145K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 6.1% | 1,614 | 1,597 | $124K |
| 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 | 6.0% | 2,326 | 2,231 | $122K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 4.3% | 8,217 | 2,833 | $88K |
| 99429 | 3.7% | 2,318 | 2,275 | $76K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 2.0% | 1,599 | 1,531 | $40K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 1.4% | 2,799 | 2,751 | $29K |
34 more codes
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 2,224 | $18K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 1,082 | $15K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 1,823 | $12K |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 1,112 | $10K |
| 92567 | <1% | 699 | $9K | |
| 90461 | <1% | 1,088 | $8K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 60 | $4K |
| 97169 | <1% | 96 | $3K | |
| 96160 | <1% | 620 | $1K | |
| 99381 | <1% | 12 | $1K | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 79 | $940.10 |
| 99051 | <1% | 180 | $702.18 | |
| 87807 | <1% | 48 | $528.00 | |
| 90473 | <1% | 17 | $133.28 | |
| 81001 | <1% | 14 | $37.24 | |
| 90651 | <1% | 444 | $25.12 | |
| 90686 | <1% | 2,688 | $0.97 | |
| 90677 | <1% | 255 | $0.21 | |
| 90620 | <1% | 107 | $0.04 | |
| 90680 | 0% | 1,019 | $0.00 | |
| 90723 | 0% | 569 | $0.00 | |
| 90647 | 0% | 1,063 | $0.00 | |
| 90698 | 0% | 154 | $0.00 | |
| 90697 | 0% | 15 | $0.00 | |
| 90716 | 0% | 88 | $0.00 | |
| 90696 | 0% | 30 | $0.00 | |
| 90744 | 0% | 13 | $0.00 | |
| 90734 | 0% | 437 | $0.00 | |
| 90715 | 0% | 52 | $0.00 | |
| 90633 | 0% | 733 | $0.00 | |
| 90700 | 0% | 96 | $0.00 | |
| 90670 | 0% | 1,296 | $0.00 | |
| 90710 | 0% | 84 | $0.00 | |
| 90707 | 0% | 87 | $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, LUIS (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| Able Physical Therapy Rehabilitation Centers, INC | Van Nuys, CA | $2.17M |
| Loving Hands Therapy Services. INC | Miami, FL | $2.07M |
| My Children's Doctor | Port Charlotte, FL | $136K |
| Professional Ambulance | Ponce, PR | $55K |
| Probill Consulting Services, INC. | Culver City, CA | $35K |
| Policlinica DR Luis E. Rodriguez C.S.P. | Dorado, PR | $8K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.