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    OpenPayerNPI Medicare & MedicaidJesus Rodriguez Rodriguez
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    Jesus Rodriguez Rodriguez — Billing Profile & Reimbursement Data

    NPI 1750327888 · Ponce, PR · General Practice Physician

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    Jesus Rodriguez Rodriguez is a general practice physician provider located in Ponce, Puerto Rico. This profile covers 5 Medicare and 12 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
    OrganizationJesus Rodriguez Rodriguez
    AddressCarretera 132 Km.22.1 Bo Canas
    CityPonce
    StatePR
    ZIP00728
    TaxonomyGeneral Practice Physician
    NPI EnumeratedJune 20, 2006

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

    Payer SourceTotal Paid
    Medicaid$224.2K
    Medicare$6.6K

    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.

    5 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99213The 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…100$60$5.8K
    96372A therapeutic, prophylactic, or diagnostic substance (a fluid, a drug, etc.) is injected via intramuscular or subcutaneous route into the patient's body. The procedure is performed by the physician…90$10$870
    J0696Injection, ceftriaxone sodium, per 250 mg20$0$0
    J1100Injection, dexamethasone sodium phosphate, 1 mg40$0$0
    J1885Injection, ketorolac tromethamine, per 15 mg30$0$0

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 5 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    5 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    992132801,53050$60$4.2K
    9637231030$10$1.1K
    J0696210260$1$110
    J1100710160$1$60
    J188551030$1$30

    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.

    12 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99234The provider sees a patient for hospital inpatient or observation care involving evaluation and management (E/M), with an admission encounter and discharge encounter on the same date. The E/M…2,410$90$219.3K
    99219N/A90$20$1.7K
    99218N/A60$20$1.1K
    99245The provider sees a patient for an office or other outpatient consultation involving evaluation and management (E/M). The E/M involves a high level of medical decision making or the provider spends…40$30$1K
    93010The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram.80$10$600
    99283The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making.60$10$320
    1158FNo Summary found for this code20$0$0
    1159FNo Summary found for this code20$0$0
    1160FNo Summary found for this code20$0$0
    1170FThe provider assesses the functional status of a patient with rheumatoid arthritis, or RA. The assessment may evaluate the patient’s level of activities of daily living, or ADL, and or status of…20$0$0

    Showing 1–10 of 12

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. Puerto Rico median

    12 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    99283The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making.350500220$40$79.5K
    99234The provider sees a patient for hospital inpatient or observation care involving evaluation and management (E/M), with an admission encounter and discharge encounter on the same date. The E/M…19220320$80$66.7K
    99219N/A6090150$70$36.4K
    99245The provider sees a patient for an office or other outpatient consultation involving evaluation and management (E/M). The E/M involves a high level of medical decision making or the provider spends…6890190$30$32.6K
    99218N/A85120180$50$26.2K
    96160The provider administers a questionnaire aimed at helping to identify a specific health risk to a patient, analyzes the results, assigns a score, and documents the findings. Use this code for each…42547070$10$15.2K
    93010The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram.350510210$10$7.8K
    1158FNo Summary found for this code38147060$1$30
    1159FNo Summary found for this code73586080$1$1
    1160FNo Summary found for this code69482070$1$1

    Showing 1–10 of 12

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Mennonite General Hospital IncPRSpecialist$0$8.3M
    Mennonite General Hospital IncPRGeneral Acute Care Hospital$0$2.8M
    Carlene Cadiz FuentesPRObstetrics & Gynecology Physician$0$1.2M
    Wilfredo De Jesus RojasPRPediatric Pulmonology Physician$0$1.2M
    Jorge Colon MartinezPRGeneral Practice Physician$0$729.7K
    Pedro PerezPRGeneral Practice Physician$0$668K
    Fabio Ricci GorbeaPRInternal Medicine Physician$2.1K$630.9K
    Walisbeth Class-vazquezPRGastroenterology Physician$7.7K$492.6K
    Juan Malpica-santiagoPRPulmonary Disease Physician$33.2K$148.3K
    Jeffrey ZuckermanPRDiagnostic Radiology Physician$131.1K$2.1K

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Alivia Infusion Services LLCPRHome Infusion Therapy Pharmacy$0$10.9M
    Lubilu Therapy Group, LLCPRSpeech-Language Pathologist$0$9.2M
    Laboratorio La Providencia De PoncePRClinical Medical Laboratory$16.4K$1.7M
    Sheila Colon VillarrubiaPRPublic Health & General Preventive Medicine Physician$0$1.2M
    S & R Laboratorio Clinico CorpPRClinical Medical Laboratory$1.7K$846.2K
    Miguel Echevarria RodriguezPRDiagnostic Radiology Physician$0$820.6K
    Sergio Collazo SrPRLand Ambulance$12.8K$753.9K
    Laboratorio Clinico El Tuque, IncPRClinical Medical Laboratory$1.4K$696.7K
    Walgreen CoPRPharmacy$60.7K$0
    Luis Rodriguez HernandezPRInternal Medicine Physician$14.9K$8.3K

    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. Puerto Rico Distribution
    Jesus Rodriguez Rodriguez — 0 of 2 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Puerto Rico
    Medicaid Revenue by Year vs. Puerto Rico Providers
    0 of 3 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Puerto Rico Distribution
    Jesus Rodriguez Rodriguez — 0 of 6 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Puerto Rico