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NPI 1144298175 · Jackson Heights, NY · Internal Medicine Physician
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Rafael Rodriguez is a internal medicine physician provider located in Jackson Heights, New York. This profile covers 3 Medicare and 55 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.
Provider details (source: NPPES NPI Registry)
| Field | Value |
|---|---|
| Entity Type | Individual |
| Organization | Rafael Rodriguez |
| Address | 9001a Roosevelt Ave |
| City | Jackson Heights |
| State | NY |
| ZIP | 11372 |
| Taxonomy | Internal Medicine Physician |
| NPI Enumerated | March 8, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $49.7K |
| Medicare | $9K |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
3 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 50 | $130 | $6.1K |
| 99213 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the… | 60 | $40 | $2.1K |
| 93272 | In this service, the provider monitors the patient’s heart rhythm while experiencing cardiac symptoms. He places electrocardiogram (ECG) leads of an event recorder on the patient's chest, which can… | 80 | $10 | $900 |
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 3 CPT/HCPCS codes.
Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.
View: By Year1 / 3
Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
55 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 93000 | The provider records the electrical conduction of the heart to examine any abnormality in its functioning, based on signals from at least 12 leads, wires that connect the recording device to… | 1,400 | $10 | $18.2K |
| 99396 | The provider performs an established well–patient visit for a patient who is between the ages of 40 and 64. | 1,930 | $1 | $7.7K |
| 3078F | No Summary found for this code | 3,870 | $1 | $3.9K |
| 99213 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the… | 3,550 | $1 | $3.5K |
| 3074F | No Summary found for this code | 3,430 | $1 | $3.4K |
| H0001 | Alcohol and/or drug assessment | 3,360 | $1 | $3.4K |
| G9622 | Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method | 2,610 | $1 | $2.6K |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 2,540 | $1 | $2.5K |
| A4556 | Electrodes, (e.g., apnea monitor), per pair | 1,750 | $1 | $1.8K |
| 93272 | In this service, the provider monitors the patient’s heart rhythm while experiencing cardiac symptoms. He places electrocardiogram (ECG) leads of an event recorder on the patient's chest, which can… | 1,710 | $1 | $1.7K |
Showing 1–10 of 55
How this provider's Medicaid billing volume and revenue compare to other New York providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. New York median
55 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 99213 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the… | 3,370 | 19,110 | 360 | $70 | $321K |
| 99214 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the… | 9,893 | 16,550 | 220 | $90 | $186.8K |
| 99203 | The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the provider… | 3,362 | 4,700 | 130 | $100 | $136.6K |
| 99396 | The provider performs an established well–patient visit for a patient who is between the ages of 40 and 64. | 243 | 2,010 | 200 | $90 | $81.7K |
| 99395 | The provider performs an established well–patient visit for a patient who is between the ages of 18 and 39. | 1,531 | 1,880 | 170 | $80 | $69K |
| H0002 | Behavioral health screening to determine eligibility for admission to treatment program | 143 | 200 | 140 | $110 | $65.4K |
| H0001 | Alcohol and/or drug assessment | 106 | 810 | 390 | $30 | $52.8K |
| 36415 | In this procedure, the provider inserts a needle into a vein to collect a blood sample. | 4,142 | 5,090 | 450 | $10 | $35.9K |
| 99401 | At an encounter separate from a preventive medicine visit, the provider offers counseling related to subjects appropriate for the patient’s age, family history, and areas of concern. The subjects… | 910 | 1,720 | 270 | $20 | $27.4K |
| 94760 | The provider takes a single measurement of the patient’s oxygen saturation using a sensor on the ear or finger. | 83 | 880 | 230 | $10 | $20.1K |
Showing 1–10 of 55
Other providers in the same ZIP code as Rafael Rodriguez, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Bangla Cdpap Services, Inc | NY | Home Health Agency | $0 | $80M |
| Shopno 1, LLC | NY | Home Health Aide | $0 | $55.8M |
| Mark R LLC | NY | Adult Care Home Facility | $0 | $47.8M |
| Bengal Home Care Inc. | NY | Home Health Agency | $0 | $42.1M |
| Mental Health Providers Of Western Queens, Inc. | NY | Adult Mental Health Clinic/Center | $0 | $33.9M |
| Jacqueline Dauhajre | NY | Ophthalmology Physician | $94.7K | $981.6K |
| Kelvin Ogelle | NY | Primary Podiatric Medicine Podiatrist | $709.6K | $192K |
| Sergio Martinez | NY | Pulmonary Disease Physician | $103.5K | $464.3K |
| Nidhi Dugar | NY | Internal Medicine Physician | $471.6K | $1.1K |
| Alyssa Mariz Liwanag | NY | Occupational Therapist | $345.4K | $39.5K |
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