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    OpenPayerNPI Medicare & MedicaidKenny Rodriguez
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    Kenny Rodriguez — Billing Profile & Reimbursement Data

    NPI 1447783139 · Waterloo, IA · Otolaryngology Physician

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    Kenny Rodriguez is a otolaryngology physician provider located in Waterloo, Iowa. This profile covers 32 Medicare and 0 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationKenny Rodriguez
    Address2515 Cyclone Dr Ste B
    CityWaterloo
    StateIA
    ZIP50701
    TaxonomyOtolaryngology Physician
    NPI EnumeratedApril 10, 2017

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

    Payer SourceTotal Paid
    Medicare$3.2M
    Medicaid$0

    Key Findings

    This provider reports $3.2M in lifetime Medicare revenue and has no Medicaid billing on file, making their publicly observed payer footprint effectively single‑payer (Medicare) based on available claims. The provider’s NPI was enumerated 2017-04-10 (~9 years ago), indicating roughly a decade of recorded activity under this identifier.

    Revenue is highly concentrated: the precomputed top three Medicare codes account for 83.7% of the provider’s total Medicare revenue. Those top contributors are 77280 ($1.5M, 45.3% of Medicare revenue), G6001 ($1M, 32.0% of Medicare revenue), and 77401 ($206.7K, 6.4% of Medicare revenue).

    The CPT/HCPCS mix is dominated by radiation therapy planning and guidance services — 77280 (simulator/field localization), G6001 (ultrasonic guidance for placement of radiation therapy fields), and related planning codes (77261, 77262, 77263, 77336) appear throughout the roster — which suggests the practice’s operational focus is heavily weighted toward radiotherapy simulation, port/field placement, and ongoing physics consultation rather than routine otolaryngology E&M. Several radiation planning/planning–support codes appear as primary revenue drivers rather than typical office visit codes.

    This provider’s volumes for core radiation planning codes are extreme relative to national peers: 77280 ranks #1 of 3348 providers (100th percentile, labeled “extreme outlier”), G6001 ranks #2 of 280 providers (100th percentile, “extreme outlier”), and 77401 ranks #3 of 426 providers (100th percentile, “extreme outlier”). Additional planning codes show similarly high national placements (77261 ranks #1 of 222, 77262 ranks #1 of 66), indicating a dominant or unusual national-scale footprint for these specific services rather than modest local participation.

    Beyond radiotherapy services, the profile includes non-radiation procedures with modest revenue: allergy testing (95024, 2.1K claims, $10.4K revenue, ranks #57 of 1816 and described as “notably above typical national volume”) and 95004 (1.6K claims, $4.9K revenue) appear as secondary service lines. Typical office/outpatient E&M codes such as 99214 (315 claims, $28.7K revenue) and 99213 (230 claims, $14.3K revenue) are present but categorized as typical, unremarkable volume relative to national peers.

    Operationally important coding change: 77401 is noted as “Deleted effective Jan. 1, 2026.” That code currently represents $206.7K (6.4% of Medicare revenue) in the lifetime Medicare record, so reconciliation of historical billing versus allowable current codes and monitoring of how that deletion affects future reported revenue and claims mix is warranted.

    Given the absence of Medicaid billing on file, assessments of this provider’s competitive standing at the state Medicaid level cannot be made from the available data; all comparative rankings provided are national Medicare comparisons. The profile therefore reads as a Medicare‑concentrated practice with an unusually high national ranking for several radiation planning and guidance codes, and analysts should treat the entity as effectively single‑payer (Medicare) in the current dataset.

    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.

    32 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    77280The provider uses a simulator or other imaging modality to determine the size and location of ports to be used for radiation therapy. This code describes a simple level service.7,480$200$1.5M
    G6001Ultrasonic guidance for placement of radiation therapy fields7,870$130$1M
    77401Deleted effective Jan. 1, 2026.7,130$30$206.7K
    77427Radiation therapy utilizes ionizing radiation beams that are directed at cancerous cells in order to destroy them. The radiation, damages the DNA (the genetic material) in the cell, thus preventing…1,350$140$191.1K
    77336This code is for reporting ongoing medical physics consultation. When a patient is undergoing radiation treatment for a particular span of time with a number of therapy sessions every week, the…920$60$55.9K
    14040The provider repairs lesions in the patient’s forehead, cheeks, chin, mouth, neck, axillae or armpits, genitalia, hands, and/or feet by using healthy tissues from an adjacent site. This code…80$550$44.9K
    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…320$90$28.7K
    77300Radiation therapy is one of the most effective treatment methods for cancerous tumors. Due to its negative side effects like damage to the healthy cells, radiation therapy involves thorough planning…470$50$22.3K
    77285In this procedure, the provider uses a simulator or other imaging modality to determine the size and location of ports to be used for radiation therapy.70$320$21.5K
    31231In this procedure, the provider inserts an endoscope into the nasal cavity to examine the structures of the nasal cavity on one or both sides.160$130$21.1K

    Showing 1–10 of 32

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 32 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    32 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    G60011104,770$130$623.7K
    774011104,370$30$128.9K
    7728014050$170$49.8K
    77427140220$140$34.6K
    77336110200$60$19.1K
    1404011030$520$17K
    992149434,690100$70$14.4K
    7728511040$320$12.7K
    14060112020$510$10.8K
    1402011020$500$9.6K

    Showing 1–10 of 32

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Thomas BurokerIAMedical Oncology Physician$9.4M$0
    Kyle AllimanIAOphthalmology Physician$8.7M$0
    Alex KartvelishviliIAOphthalmology Physician$8.1M$0
    Paul BoekeIAOphthalmology Physician$7.1M$0
    Austin StrohbehnIARetina Specialist (Ophthalmology) Physician$5.8M$0
    Jeremy DeutschKSHematology & Oncology Physician$5.7M$0
    Cedar Valley Medical Specialists PCIAOrthopaedic Surgery Physician$0$5.3M
    Robert BehrensIAMedical Oncology Physician$5.2M$0
    Matthew McknightIAFoot & Ankle Surgery Podiatrist$4.7M$23.5K
    James SingerIARetina Specialist (Ophthalmology) Physician$4.1M$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Exceptional Persons IncIAIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility$0$80.3M
    Vgm Group, Inc.IADurable Medical Equipment & Medical Supplies$0$54.4M
    Goodwill Industries Of Ne Iowa IncIACommunity Based Hospice Care Agency$0$52.5M
    Veridian Fiscal Solutions LLCIACommunity/Behavioral Health Agency$0$47M
    North Star Community Services, IncIADevelopmentally Disabled Services Day Training Agency$0$26.7M
    Families First Counseling Services Of Iowa, L.L.C.IACommunity/Behavioral Health Agency$0$16.3M
    Resources For Human DevelopmentIACommunity/Behavioral Health Agency$0$13.1M
    Cedar Valley Community Support ServicesIADevelopmentally Disabled Services Day Training Agency$0$11.1M
    Vgm Group, Inc.IACase Management Agency$0$5.4M
    Pathways Behavioral Services IncIACommunity/Behavioral Health Agency$0$4.5M

    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. Iowa Distribution
    Kenny Rodriguez — 11 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Iowa