Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or Ohio for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Ohio only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. Ohio (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Kenneth Rodriguez (NPI 1528290541)

Field	Value
Entity Type	Individual
Organization	Kenneth Rodriguez
Address	11100 Euclid Ave
City	Cleveland
State	OH
ZIP	44106
Taxonomy	Otolaryngology Physician
NPI Enumerated	August 10, 2009

Payer Source	Total Paid
Medicare	$72.2K
Medicaid	$0

Medicare: Complete Services Breakdown

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

6 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
31231	In this procedure, the provider inserts an endoscope into the nasal cavity to examine the structures of the nasal cavity on one or both sides.	260	$130	$34.8K
31237	In this procedure, the provider inserts an endoscope into the nasal cavity. She examines the nasal contents. The provider then performs a nasal biopsy, polypectomy, or debridement.	60	$260	$14.7K
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…	180	$60	$11K
99204	The provider sees a new 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 provider…	50	$110	$5.1K
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…	60	$80	$4.6K
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…	20	$80	$1.9K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 6 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Ohio Distribution

Kenneth Rodriguez — 2 of 6 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Ohio

Full comparison — all codes billed, vs. state median

6 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	13,304	20,010	100	$70	$11.7K
31237	2	30	30	$240	$8.7K
99213	4,042	20,000	70	$50	$6.6K
31231	5	180	40	$110	$6.5K
99204	2,479	8,330	30	$100	$4.4K
99203	3,617	6,380	30	$60	$2.9K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
University Hospitals Cleveland Medical Center	OH	General Acute Care Hospital	$0	$156.9M
University Hospitals Medical Group Inc	OH	Multi-Specialty Clinic/Center	$0	$107.5M
University Hospitals Cleveland Medical Center	OH	Children's Hospital	$0	$76.7M
University Hospitals Laboratory Services Foundation	OH	Clinical Medical Laboratory	$8.4M	$41.1M
Circle Health Services	OH	Federally Qualified Health Center (FQHC)	$0	$7.1M
Community Dialysis Center	OH	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$7M
Adir Ludin	OH	Radiation Oncology Physician	$1.6M	$0
Katarzyna Brodowska	OH	Ophthalmology Physician	$929.6K	$162.9K
Eric Palfreyman	OH	Internal Medicine Physician	$1M	$0
Shree Kurup	OH	Ophthalmology Physician	$533.2K	$0

Kenneth Rodriguez — Billing Profile & Reimbursement Data

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Kenneth Rodriguez — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References