Physician
Mario a Rodriguez MD PA
Mario a Rodriguez MD PA was paid $3.59M by Medicaid between Jan 2018 and Dec 2024, across 58 billing codes. Its largest line is 99444, — 56% of everything it billed.
33Billing provider infoMARIO A RODRIGUEZ MD PA
RIO GRANDE CITY, TX 78582
RIO GRANDE CITY, TX 78582
33aNPI1962692574assigned 07/30/2007
33bProvider typeFamily Medicine Physician
28Total paid$3.59M
24GClaims200,550
24DCodes billed58
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Family Medicine Physician providers in Texas
Rank by total paid#31 of 1,204
Median peer was paid$31K
This provider vs. median117×
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 | 53,663 | $1.07M | |
| 2019 | 34,458 | $1.07M | |
| 2020 | 31,475 | $1.01M | |
| 2021 | 25,902 | $261K | |
| 2022 | 27,941 | $82K | |
| 2023 | 18,309 | $63K | |
| 2024incomplete | 8,802 | $32K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99444 | 56% | 35,291 | 8,588 | $2.02M | |
| 99423 | 33% | 39,021 | 9,910 | $1.17M | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 7.2% | 15,443 | 11,941 | $258K |
| 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 | 1.7% | 3,613 | 3,236 | $62K |
| 99091 | 1.0% | 6,610 | 6,571 | $37K | |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | <1% | 1,119 | 994 | $20K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 3,501 | 2,658 | $17K |
| 99421 | <1% | 780 | 222 | $5K | |
| 99457 | <1% | 5,947 | 5,879 | $3K | |
| G0179 | Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care | <1% | 1,768 | 1,768 | $2K |
| 99458 | <1% | 5,846 | 5,780 | $1K | |
| G2012 | Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion | <1% | 681 | 587 | $820.17 |
46 more codes
| 99203 | Doctor's office visit, new patient (routine) | <1% | 14 | $565.06 |
| 90674 | <1% | 300 | $379.34 | |
| 99454 | <1% | 255 | $178.25 | |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 1,025 | $173.94 |
| J3420 | Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg | <1% | 209 | $117.33 |
| 81003 | <1% | 217 | $27.03 | |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | <1% | 193 | $4.48 |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 7,349 | $0.23 |
| G8419 | Bmi documented outside normal parameters, no follow-up plan documented, no reason given | 0% | 4,394 | $0.00 |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 1,048 | $0.00 |
| G8432 | Depression screening not documented, reason not given | 0% | 1,503 | $0.00 |
| 3074F | 0% | 577 | $0.00 | |
| G0180 | Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care | 0% | 15 | $0.00 |
| 3075F | 0% | 108 | $0.00 | |
| G9717 | Documentation stating the patient has had a diagnosis of bipolar disorder | 0% | 759 | $0.00 |
| 1036F | 0% | 11,554 | $0.00 | |
| G8755 | Most recent diastolic blood pressure >= 90 mmhg | 0% | 456 | $0.00 |
| 1123F | 0% | 6,861 | $0.00 | |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 10,417 | $0.00 |
| 3017F | 0% | 1,474 | $0.00 | |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 0% | 149 | $0.00 |
| G0008 | Administration of influenza virus vaccine | 0% | 414 | $0.00 |
| G0442 | Annual alcohol misuse screening, 5 to 15 minutes | 0% | 193 | $0.00 |
| 1125F | 0% | 121 | $0.00 | |
| G8430 | Documentation of a medical reason(s) for not documenting, updating, or reviewing the patient's current medications list (e.g., patient is in an acute health crisis where time is of the essence and delay of treatment would jeopardize the patient's health status) | 0% | 25 | $0.00 |
| 1126F | 0% | 228 | $0.00 | |
| J2920 | Injection, methylprednisolone sodium succinate, up to 40 mg | 0% | 381 | $0.00 |
| M1069 | Patient screened for future fall risk | 0% | 15 | $0.00 |
| 3079F | 0% | 114 | $0.00 | |
| G8422 | Bmi not documented, documentation the patient is not eligible for bmi calculation | 0% | 81 | $0.00 |
| 3080F | 0% | 13 | $0.00 | |
| 1170F | 0% | 15 | $0.00 | |
| 3077F | 0% | 180 | $0.00 | |
| G8753 | Most recent systolic blood pressure >= 140 mmhg | 0% | 4,003 | $0.00 |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 0% | 7,164 | $0.00 |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 2,686 | $0.00 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 13,521 | $0.00 |
| G0444 | Annual depression screening, 5 to 15 minutes | 0% | 239 | $0.00 |
| 3078F | 0% | 684 | $0.00 | |
| 4040F | 0% | 1,493 | $0.00 | |
| G0181 | Physician or allowed practitioner supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and multidisciplinary care modalities involving regular physician or allowed practitioner development and/or revision of care plans | 0% | 37 | $0.00 |
| 90756 | 0% | 137 | $0.00 | |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | 0% | 232 | $0.00 |
| 99453 | 0% | 12 | $0.00 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 0% | 44 | $0.00 |
| G8483 | Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) | 0% | 21 | $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, MARIO (PRESIDENT)