Physician
Rodriguez-Gonzalez, Carmen
Rodriguez-Gonzalez, Carmen was paid $471.26 by Medicaid between Apr 2021 and May 2024, across 4 billing codes. Its largest line is 99211, Office or other outpatient visit for the evaluation and management of an established patient, minimal severity — 76% of everything it billed.
33Billing provider infoRODRIGUEZ-GONZALEZ, CARMEN
HORMIGUEROS, PR 00660
HORMIGUEROS, PR 00660
33aNPI1821392044assigned 01/03/2011
33bProvider typeFamily Medicine Physician
28Total paid$471.26
24GClaims1,337
24DCodes billed4
24AFirst – last monthApr 2021 – May 2024
Compared with peers
Next to other Family Medicine Physician providers in Puerto Rico
Rank by total paid#92 of 160
Median peer was paid$1K
This provider vs. median0.4×
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 | |
|---|---|---|---|
| 2021 | 37 | $360.00 | |
| 2022 | 244 | $42.00 | |
| 2023 | 804 | $69.26 | |
| 2024incomplete | 252 | $0.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 76% | 14 | 13 | $360.00 |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 15% | 1,268 | 1,174 | $69.26 |
| 99442 | 8.9% | 29 | 29 | $42.00 | |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 0% | 26 | 26 | $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.