Physician
Rudolph, Daniel
Rudolph, Daniel was paid $761K by Medicaid between Jan 2018 and Jul 2020, across 28 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 36% of everything it billed.
33Billing provider infoRUDOLPH, DANIEL
FESTUS, MO 63028
FESTUS, MO 63028
33aNPI1861477085assigned 12/09/2005
33bProvider typePediatrics Physician
28Total paid$761K
24GClaims19,315
24DCodes billed28
24AFirst – last monthJan 2018 – Jul 2020
Compared with peers
Next to other Pediatrics Physician providers in Missouri
Rank by total paid#51 of 992
Median peer was paid$40K
This provider vs. median19×
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 | 8,594 | $339K | |
| 2019 | 8,088 | $313K | |
| 2020 | 2,633 | $110K |
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 | 36% | 6,584 | 6,024 | $276K |
| 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 | 17% | 2,218 | 2,098 | $132K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 11% | 1,245 | 1,208 | $85K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 10% | 1,111 | 1,097 | $80K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 9.1% | 964 | 953 | $69K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 4.7% | 514 | 505 | $36K |
| 90698 | 3.1% | 819 | 810 | $23K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 1.9% | 967 | 945 | $14K |
| 90707 | <1% | 389 | 387 | $7K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 231 | 228 | $7K |
| 90670 | <1% | 1,040 | 1,031 | $6K | |
| 90680 | <1% | 670 | 662 | $4K |
16 more codes
| 90744 | <1% | 523 | $3K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 94 | $3K |
| 90633 | <1% | 435 | $2K | |
| 90716 | <1% | 399 | $2K | |
| 90686 | <1% | 372 | $2K | |
| 90715 | <1% | 106 | $2K | |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 40 | $2K |
| 90734 | <1% | 211 | $1K | |
| 90696 | <1% | 54 | $1K | |
| 90700 | <1% | 55 | $965.71 | |
| 99381 | <1% | 14 | $951.39 | |
| 90651 | <1% | 119 | $677.17 | |
| 90648 | <1% | 53 | $309.59 | |
| 90685 | <1% | 53 | $295.50 | |
| 90713 | <1% | 19 | $112.13 | |
| 81002 | <1% | 16 | $34.33 |
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.