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    v1.0.28
    OpenPayerNPI Medicare & MedicaidRafael Rondon
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    Rafael Rondon — Billing Profile & Reimbursement Data

    NPI 1568667715 · Tampa, FL · Geriatric Medicine (Internal Medicine) Physician

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    Rafael Rondon is a geriatric medicine (internal medicine) physician provider located in Tampa, Florida. This profile covers 10 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
    OrganizationRafael Rondon
    Address5331 Primrose Lake Cir Ste 112
    CityTampa
    StateFL
    ZIP33647
    TaxonomyGeriatric Medicine (Internal Medicine) Physician
    NPI EnumeratedJune 18, 2007

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

    Payer SourceTotal Paid
    Medicare$1.4M
    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.

    10 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99309The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or the provider…12,370$90$1.1M
    99310The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the provider spends…1,930$120$229.4K
    99350The provider sees an established patient for a home or residence visit involving evaluation and management (E/M). The visit involves high medical decision making or the provider spends at least 60…250$150$36.8K
    99306The provider sees a patient for an initial nursing facility care visit involving evaluation and management (E/M). The visit involves high medical decision making, and/or the provider spends at least…170$140$25.1K
    99349The provider sees an established patient for a home or residence visit involving evaluation and management (E/M). The visit involves moderate medical decision making or the provider spends at least…210$100$21.1K
    99497The provider discusses and shares planning with a patient, his family, or an individual representing the patient, regarding the future health care needs of the patient. Use this code for the first 30…180$60$11.3K
    99345The provider sees a new patient for a home or residence visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the provider spends at least 75…30$160$4.1K
    99316The provider sees a patient for nursing facility discharge management requiring more than 30 minutes.30$110$2.9K
    99305The provider sees a patient for an initial nursing facility care visit involving evaluation and management (E/M). The visit involves moderate medical decision making or the provider spends at least…20$110$1.6K
    G0180Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review…10$40$460

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 10 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    10 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    9930922,150290$80$45K
    9935020675080$120$33K
    993496471,570140$90$27.4K
    993101096080$110$19.2K
    993062131,17070$140$15.5K
    993059031,03050$100$9.4K
    994973832,37050$70$6.7K
    9934521238030$140$5.7K
    9931621837040$90$5.4K
    G01802,2602,39030$40$1.9K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Henry OdukomaiyaFLFamily Medicine Physician$1.7M$0
    Jessica RondonFLPsychiatric/Mental Health Nurse Practitioner$1.7M$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Solarus Enterprises, LLCFLDurable Medical Equipment & Medical Supplies$0$16.9M
    Florida Medical Clinic, LLCFLClinical Medical Laboratory$2.5M$7.3K
    Sobia AliFLGastroenterology Physician$376.7K$0
    Reena KavilaveettilFLNeurology Physician$151.1K$0
    Gerard MosielloFLSpecialist$117.6K$0
    Andrew DaleyFLInternal Medicine Physician$114.1K$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.

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    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Florida Distribution
    Rafael Rondon — 2 of 10 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Florida