Physician
Rodriguez and Sixto Medical Associates, P.A.
Rodriguez and Sixto Medical Associates, P.A. was paid $295K by Medicaid between Jan 2018 and Nov 2024, across 45 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 45% of everything it billed.
33Billing provider infoRODRIGUEZ AND SIXTO MEDICAL ASSOCIATES, P.A.
MIAMI, FL 33144
MIAMI, FL 33144
33aNPI1982744314assigned 02/07/2007
33bProvider typeFamily Medicine Physician
28Total paid$295K
24GClaims25,846
24DCodes billed45
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Family Medicine Physician providers in Florida
Rank by total paid#119 of 996
Median peer was paid$13K
This provider vs. median22×
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 | 1,240 | $8K | |
| 2019 | 4,801 | $52K | |
| 2020 | 2,362 | $31K | |
| 2021 | 3,332 | $41K | |
| 2022 | 5,887 | $55K | |
| 2023 | 5,445 | $76K | |
| 2024incomplete | 2,779 | $32K |
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 | 45% | 3,499 | 2,904 | $132K |
| 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 | 39% | 2,663 | 2,047 | $116K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 2.5% | 67 | 67 | $7K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 2.5% | 270 | 230 | $7K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 2.2% | 57 | 57 | $7K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 2.1% | 485 | 370 | $6K |
| 99385 | 1.6% | 63 | 57 | $5K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.4% | 112 | 99 | $4K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 1.2% | 41 | 41 | $3K |
| 93000 | <1% | 658 | 584 | $2K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 3,039 | 2,287 | $2K |
| 99443 | <1% | 68 | 46 | $1K |
33 more codes
| 3074F | <1% | 1,494 | $550.00 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 314 | $480.53 |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 15 | $471.65 |
| G0101 | Cervical or vaginal cancer screening; pelvic and clinical breast examination | <1% | 14 | $246.25 |
| 99442 | <1% | 14 | $239.41 | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 184 | $203.20 |
| 92552 | <1% | 285 | $202.72 | |
| G0444 | Annual depression screening, 5 to 15 minutes | <1% | 1,157 | $164.99 |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 64 | $19.86 |
| 99000 | <1% | 3,880 | $15.49 | |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 152 | $10.48 |
| 99406 | <1% | 13 | $9.15 | |
| 99173 | <1% | 174 | $3.31 | |
| 0518F | 0% | 41 | $0.00 | |
| 3725F | 0% | 1,148 | $0.00 | |
| 3078F | 0% | 1,252 | $0.00 | |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 171 | $0.00 |
| 1159F | 0% | 613 | $0.00 | |
| 3288F | 0% | 41 | $0.00 | |
| 1160F | 0% | 611 | $0.00 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 0% | 67 | $0.00 |
| 90461 | 0% | 12 | $0.00 | |
| 90734 | 0% | 16 | $0.00 | |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | 0% | 215 | $0.00 |
| G2197 | Patient screened for unhealthy alcohol use using a systematic screening method and not identified as an unhealthy alcohol user | 0% | 900 | $0.00 |
| 1036F | 0% | 1,060 | $0.00 | |
| 1125F | 0% | 320 | $0.00 | |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 263 | $0.00 |
| G8734 | Elder maltreatment screen documented as negative, follow-up is not required | 0% | 41 | $0.00 |
| 3079F | 0% | 115 | $0.00 | |
| 1170F | 0% | 41 | $0.00 | |
| G0442 | Annual alcohol misuse screening, 5 to 15 minutes | 0% | 87 | $0.00 |
| 1126F | 0% | 50 | $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 FUNDORA, WILLIAM (PRESIDENT)