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    OpenPayerNPI Medicare & MedicaidJohn Rodriguez
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    John Rodriguez — Billing Profile & Reimbursement Data

    NPI 1427210251 · Lincoln, RI · Clinical Cardiac Electrophysiology Physician

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    John Rodriguez is a clinical cardiac electrophysiology physician provider located in Lincoln, Rhode Island. This profile covers 13 Medicare and 2 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)

    FieldValue
    Entity TypeIndividual
    OrganizationJohn Rodriguez
    Address6 Blackstone Valley Pl Ste 105
    CityLincoln
    StateRI
    ZIP02865
    TaxonomyClinical Cardiac Electrophysiology Physician
    NPI EnumeratedJuly 2, 2008

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicare$73.1K
    Medicaid$8.6K

    Medicare: Total Revenue Breakdown by CPT/HCPCS Code

    Medicare revenue breakdown by CPT/HCPCS procedure code.

    View: Bar Chart1 / 2

    Medicare: Complete Services Breakdown

    The CPT/HCPCS codes generating the most Medicare revenue for this provider.

    13 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    33285The provider inserts a cardiac rhythm monitor with self–contained electrodes into a pocket in the tissues beneath the patient's skin and programs the device according to manufacturer’s directions.10$3,420$37.6K
    99223The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…60$130$7.7K
    99214The 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…70$100$6.9K
    99215The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…40$130$4.7K
    99233The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…50$90$4.3K
    33208The provider inserts or replaces a permanent pacemaker and implants electrodes into the right atrium and right ventricle.10$370$4.1K
    93280In this service, the provider performs a face to face evaluation and then optimally adjusts the existing parameters of an already implanted dual lead pacemaker system.  He changes various operating…40$60$2.5K
    93306The provider uses transducers to obtain two–dimensional (2D) images of the heart structures through the chest wall. He evaluates the anatomy and function of all four heart chambers, valves, adjacent…40$50$1.8K
    93000The 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…120$10$1.3K
    93010The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram.220$10$1.3K

    Showing 1–10 of 13

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 13 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    13 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    933066570220$80$17.5K
    3328521010$1,180$13K
    992141,1411,950100$80$11.7K
    9923326347060$90$9.1K
    33208101020$380$8K
    9922313654030$130$6.4K
    9921519346030$110$5.7K
    9329691070$20$3.8K
    93295910180$30$3.4K
    93280173050$40$2.4K

    Showing 1–10 of 13

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    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

    Medicaid: Complete Services Breakdown

    Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

    2 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    93010The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram.1,310$10$7.8K
    93000The 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…10$10$170

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other Rhode Island providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. Rhode Island median

    2 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    93010The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram.52150470$10$19.2K
    93000The 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…85100120$10$3.9K

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with John Rodriguez, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Prospect Chartercare Rwmc, LLCRIGeneral Acute Care Hospital$0$57.1M
    Cooley Dickinson Hospital IncMAGeneral Acute Care Hospital$0$34.9M
    Prospect Chartercare Sjhsri, LLCRIGeneral Acute Care Hospital$0$10.9M
    St. Joseph Health Services Of RiRIGeneral Acute Care Hospital$0$5.9M
    Roger Williams Medical CenterRISurgical Oncology Physician$0$5.4M
    Thomas DefantiCTAddiction Medicine (Psychiatry & Neurology) Physician$0$3.6M
    Matthew DowneyRIPediatric Dentistry$0$2.8M
    Prospect Chartercare Rwmc, LLCRIInternal Medicine Physician$0$2.4M
    Chelsy CarenRIObstetrics & Gynecology Physician$0$2.3M
    John KiangRIPediatric Dentistry$0$1.3M

    Nearby Providers

    Other providers in the same ZIP code as John Rodriguez, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Seven Hills Rhode Island IncRIDevelopmentally Disabled Services Day Training Agency$0$84.1M
    Fellowship Health Resources, IncRIMental Health Clinic/Center (Including Community Mental Health Center)$0$49.1M
    Seven Hills Rhode Island IncRIMulti-Specialty Clinic/Center$0$31M
    Seven Hills Rhode Island IncRIIn Home Supportive Care Agency$0$22M
    Mohammad SuhailRIInternal Medicine Physician$126.3K$16M
    Seven Hills Rhode Island IncRIMulti-Specialty Clinic/Center$0$9.8M
    Caregivers Ri, LLCRIHome Health Agency$0$8.5M
    Epoch Sleep Centers, LLCRISleep Disorder Diagnostic Clinic/Center$88.3K$3.8M
    Anchor Medical AssociatesRIGeneral Practice Physician$0$2.9M
    Golden Roads Adult Day Center LLCRIAdult Day Care Clinic/Center$0$2.3M

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Rhode Island Distribution
    John Rodriguez — 0 of 13 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Rhode Island
    Medicaid Revenue by Year vs. Rhode Island Providers
    0 of 5 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Rhode Island Distribution
    John Rodriguez — 0 of 2 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Rhode Island