Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Rodriguez, Luis

Rodriguez, Luis was paid $219K by Medicaid between Sep 2018 and Dec 2024, across 5 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 78% of everything it billed.

33Billing provider infoRODRIGUEZ, LUIS
YAUCO, PR 00698
33aNPI1891779237assigned 11/30/2005
28Total paid$219K
24GClaims3,888
24DCodes billed5
24AFirst – last monthSep 2018 – Dec 2024
Compared with peers

Next to other Obstetrics & Gynecology Physician providers in Puerto Rico

Rank by total paid#34 of 185
Median peer was paid$53K
This provider vs. median4.1×

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

$0$5.0K$10K$15K2018201920202021202220232024
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
YearClaimsPaid
201830$377.24
201998$1K
202047$835.78
2021385$10K
2022724$37K
20231,368$86K
2024incomplete1,236$84K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 78% 3,137 2,219 $171K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 20% 600 546 $44K
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% 55 44 $2K
G0101 Cervical or vaginal cancer screening; pelvic and clinical breast examination <1% 68 59 $2K
Q0091 Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory <1% 28 28 $388.48

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.