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    OpenPayerNPI Medicare & MedicaidCarlos Rodriguez
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    Carlos Rodriguez — Billing Profile & Reimbursement Data

    NPI 1518137306 · Tucson, AZ · Dermatopathology Physician

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    Carlos Rodriguez is a dermatopathology physician provider located in Tucson, Arizona. This profile covers 17 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
    OrganizationCarlos Rodriguez
    Address1735 E Skyline Dr
    CityTucson
    StateAZ
    ZIP85718
    TaxonomyDermatopathology Physician
    NPI EnumeratedMarch 7, 2008

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

    Payer SourceTotal Paid
    Medicare$788.6K
    Medicaid$0

    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.

    17 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    88305The physician, typically a pathologist, performs a level IV examination of a surgical pathology specimen. The examination includes accessioning the specimen into the lab, which involves formally…11,370$40$477.5K
    17311Mohs surgery is a multi–staged procedure that is performed to excise a malignant lesion layer by layer, along with histo–pathological assessment. The assessment is performed to ensure that the…300$490$146K
    13132The provider repairs a wound measuring 2.6 cm to 7.5 cm in size of the cheeks, chin, mouth, neck, axillae, genitalia, hands, and/or feet, which may require scar revision, debridement extensive…200$190$38.2K
    17312Mohs surgery is a multi–staged method of excising a malignant lesion layer by layer, along with histo–pathological assessment, to ensure negative malignancy of the margins.100$320$30.8K
    88341The lab analyst applies an additional single antibody stain on a slide or slides prepared from the same patient specimen as the initial antibody stain, such as tumor tissue. Then a qualified…1,010$20$21.3K
    88312The lab analyst performs the technical lab steps to stain a specimen with a special stain. This code applies to Group I for microorganisms. A qualified provider, typically a pathologist, interprets…440$40$17.9K
    13121This is for a complex repair of a wound to the scalp, arms, and/or legs.  This wound should be 2.6 to 7.5 cm in size.60$250$16.1K
    88342The lab analyst applies an initial single antibody stain on a slide or slides prepared from a single patient specimen, such as tumor tissue. Then a qualified provider, typically a pathologist,…590$30$15.8K
    14060The provider replaces the lesions in the eyelids, nose, ears, or lips, with the healthy tissues from an adjacent site. This code represents a defect of 10 cm2 or less.10$580$7.5K
    13101This is for a complex repair of a wound to the trunk.  This wound should be 2.6 to 7.5 cm in size.20$300$6.8K

    Showing 1–10 of 17

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 17 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    17 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    1731144100240$450$148.3K
    883058270700$40$71.1K
    1731257100120$320$56.9K
    8834121210270$40$28.8K
    8834226220160$50$20.6K
    14060657020$560$18.9K
    131321312050$220$18.7K
    131214514040$230$13.5K
    883121315060$70$13.1K
    17000537580210$30$11.8K

    Showing 1–10 of 17

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Thomas DermatologyNVDermatology Physician$0$2.4M
    Ronald ShiellCAMOHS-Micrographic Surgery Physician$2M$0
    Marguerite GermainSCDermatology Physician$1.8M$0
    Kelli HutchensWIDermatopathology (Pathology) Physician$1.7M$23.6K
    Forefront Dermatology, S.c.ALDermatology Physician$0$1.7M
    Francessca BrettschneiderFLDermatopathology (Pathology) Physician$1.6M$0
    Forefront Dermatology, S.c.WIDermatopathology Physician$0$1.6M
    Luke HyderFLDermatology Physician$1.5M$0
    Douglas HansenWIAnatomic Pathology & Clinical Pathology Physician$1.4M$2.9K
    Andy HsiCAAnatomic Pathology & Clinical Pathology Physician$1.4M$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Pima Heart Physicians, PCAZCardiovascular Disease Physician$0$18.5M
    Neurological Associates Of TucsonAZNeurological Surgery Physician$0$17.9M
    Anil Rama RaoAZAnatomic Pathology & Clinical Pathology Physician$1.3M$0
    Paul SagermanAZAnatomic Pathology Physician$707.9K$54.1K
    Tijana SkrepnikAZRadiation Oncology Physician$707.3K$0
    Matthew McfarlaneAZRadiation Oncology Physician$622.9K$0
    Robyn GlaesserAZDermatology Physician$564.8K$0
    Monty MoralesAZCardiovascular Disease Physician$524.9K$0
    Scott SheftelAZDermatology Physician$435.8K$0
    Natalie RadloffAZPhysician Assistant$423.1K$0

    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. Arizona Distribution
    Carlos Rodriguez — 1 of 17 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Arizona