Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

RODRIGUEZ AND SIXTO MEDICAL ASSOCIATES, P.A.

NPI: 1982744314 · MIAMI, FL 33144 · Family Medicine Physician · NPI assigned 02/07/2007

$295K
Total Medicaid Paid
25,846
Total Claims
20,423
Beneficiaries
45
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialRODRIGUEZ FUNDORA, WILLIAM (PRESIDENT)
NPI Enumeration Date02/07/2007

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,240 $8K
2019 4,801 $52K
2020 2,362 $31K
2021 3,332 $41K
2022 5,887 $55K
2023 5,445 $76K
2024 2,779 $32K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 3,499 2,904 $132K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 2,663 2,047 $116K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 67 67 $7K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 270 230 $7K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 57 57 $7K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 485 370 $6K
99385 63 57 $5K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 112 99 $4K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 41 41 $3K
93000 658 584 $2K
36415 Collection of venous blood by venipuncture 3,039 2,287 $2K
99443 68 46 $1K
3074F 1,494 1,212 $550.00
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 314 233 $480.53
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 15 13 $471.65
G0101 Cervical or vaginal cancer screening; pelvic and clinical breast examination 14 12 $246.25
99442 14 13 $239.41
90460 Immunization administration through 18 years of age via any route, first or only component 184 172 $203.20
92552 285 273 $202.72
G0444 Annual depression screening, 5 to 15 minutes 1,157 882 $164.99
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 64 62 $19.86
99000 3,880 2,926 $15.49
J1100 Injection, dexamethasone sodium phosphate, 1 mg 152 127 $10.48
99406 13 12 $9.15
99173 174 170 $3.31
0518F 41 32 $0.00
3725F 1,148 899 $0.00
3078F 1,252 1,001 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 171 116 $0.00
1159F 613 500 $0.00
3288F 41 32 $0.00
1160F 611 499 $0.00
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 67 59 $0.00
90461 12 12 $0.00
90734 16 16 $0.00
G0447 Face-to-face behavioral counseling for obesity, 15 minutes 215 147 $0.00
G2197 Patient screened for unhealthy alcohol use using a systematic screening method and not identified as an unhealthy alcohol user 900 761 $0.00
1036F 1,060 825 $0.00
1125F 320 208 $0.00
G8420 Bmi is documented within normal parameters and no follow-up plan is required 263 202 $0.00
G8734 Elder maltreatment screen documented as negative, follow-up is not required 41 32 $0.00
3079F 115 93 $0.00
1170F 41 32 $0.00
G0442 Annual alcohol misuse screening, 5 to 15 minutes 87 40 $0.00
1126F 50 21 $0.00