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NPI 1780948703 · Madison, WI · Nephrology Physician
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Daniel Guerra Rodas is a nephrology physician provider located in Madison, Wisconsin. This profile covers 11 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)
| Field | Value |
|---|---|
| Entity Type | Individual |
| Organization | Daniel Guerra Rodas |
| Address | Uw Hospital And Clinics |
| City | Madison |
| State | WI |
| ZIP | 53792 |
| Taxonomy | Nephrology Physician |
| NPI Enumerated | June 25, 2012 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $462.1K |
| Medicare | $147.6K |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
11 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 99232 | The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or… | 770 | $70 | $50K |
| 90960 | The provider manages all the services associated with the monthly care of a patient who is 20 years old or older and has a condition known as end stage renal disease or ESRD. For this service, the… | 160 | $270 | $43.2K |
| 90935 | Hemodialysis is a procedure that involves drawing blood via an intra–arterial or intravenous catheter, then sieving it through a semi permeable membrane to remove the impurities and finally… | 310 | $60 | $18.2K |
| 99223 | The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the… | 100 | $140 | $13.8K |
| 90966 | The provider manages all the physician related services for one full month for the home dialysis care of a patient who is 20 years old or older and has a condition known as end stage renal disease,… | 30 | $230 | $6.7K |
| 90961 | The provider manages all the services associated with the monthly care of a patient who is 20 years old or older and has a condition known as end stage renal disease, or ESRD. For this service, the… | 30 | $220 | $6.2K |
| 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… | 40 | $100 | $3.7K |
| 99222 | The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or… | 20 | $100 | $2.3K |
| 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 | $1.7K |
| 99233 | The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the… | 20 | $100 | $1.5K |
Showing 1–10 of 11
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 11 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
11 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| 90960 | 51 | 90 | 190 | $260 | $53.1K |
| 90966 | 25 | 30 | 80 | $210 | $18.8K |
| 90961 | 53 | 70 | 50 | $220 | $14K |
| 99214 | 7,256 | 9,800 | 80 | $70 | $9.2K |
| 99233 | 2,018 | 2,110 | 60 | $90 | $8.7K |
| 99232 | 32 | 3,490 | 60 | $60 | $7.2K |
| 99223 | 233 | 2,080 | 30 | $130 | $6.1K |
| 90935 | 2 | 130 | 50 | $50 | $3.9K |
| 99222 | 1,039 | 2,200 | 20 | $90 | $3.1K |
| 99203 | 1,709 | 2,820 | 30 | $60 | $2.4K |
Showing 1–10 of 11
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
Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
12 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 99233 | The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the… | 9,330 | $30 | $242.4K |
| 99232 | The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or… | 3,340 | $30 | $93.5K |
| 90935 | Hemodialysis is a procedure that involves drawing blood via an intra–arterial or intravenous catheter, then sieving it through a semi permeable membrane to remove the impurities and finally… | 2,070 | $20 | $47.5K |
| 99223 | The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the… | 1,130 | $30 | $35.1K |
| 99255 | The provider sees a patient for an inpatient or observation consultation involving evaluation and management (E/M). The E/M involves a high level of medical decision making or the provider spends at… | 330 | $90 | $28.3K |
| 90966 | The provider manages all the physician related services for one full month for the home dialysis care of a patient who is 20 years old or older and has a condition known as end stage renal disease,… | 50 | $140 | $7.3K |
| 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… | 90 | $40 | $3.9K |
| 90970 | The provider manages for less than one full month all the daily services associated with the dialysis care of a patient who is 20 years old or older and has a condition known as end stage renal… | 740 | $1 | $3K |
| 99238 | The provider sees a patient for hospital inpatient or observation discharge day management, involving evaluation and management (E/M). The provider spends 30 minutes or less on the service on the… | 60 | $20 | $970 |
| 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… | 20 | $10 | $210 |
Showing 1–10 of 12
How this provider's Medicaid billing volume and revenue compare to other Wisconsin providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Wisconsin median
12 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 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… | 1,033 | 1,630 | 270 | $40 | $205.3K |
| 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… | 1,563 | 1,760 | 250 | $40 | $173.2K |
| 99233 | The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the… | 10 | 170 | 240 | $20 | $68.9K |
| 99232 | The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or… | 59 | 240 | 420 | $10 | $58.8K |
| 99309 | The 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… | 140 | 140 | 300 | $20 | $43.8K |
| 99223 | The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the… | 20 | 140 | 170 | $50 | $39.4K |
| 90935 | Hemodialysis is a procedure that involves drawing blood via an intra–arterial or intravenous catheter, then sieving it through a semi permeable membrane to remove the impurities and finally… | 4 | 20 | 140 | $30 | $33K |
| 99238 | The provider sees a patient for hospital inpatient or observation discharge day management, involving evaluation and management (E/M). The provider spends 30 minutes or less on the service on the… | 57 | 110 | 60 | $30 | $10.8K |
| 90966 | The provider manages all the physician related services for one full month for the home dialysis care of a patient who is 20 years old or older and has a condition known as end stage renal disease,… | 4 | 10 | 60 | $60 | $9.6K |
| 99255 | The provider sees a patient for an inpatient or observation consultation involving evaluation and management (E/M). The E/M involves a high level of medical decision making or the provider spends at… | 1 | 10 | 50 | $80 | $9.1K |
Showing 1–10 of 12
Other providers in the same ZIP code as Daniel Guerra Rodas, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| University Of Wisconsin Hospitals And Clinics Authority | WI | General Acute Care Hospital | $0 | $120M |
| David Lewis | WI | Ophthalmology Physician | $1.4M | $0 |
| Jagroop Basraon | WI | Clinical Cardiac Electrophysiology Physician | $1.1M | $0 |
| Noemi Brunner | WI | Diagnostic Radiology Physician | $35.1K | $739.2K |
| Rakesh Mandal | WI | Clinical Pathology/Laboratory Medicine Physician | $67.1K | $547.9K |
| Ali Pirasteh | WI | Diagnostic Radiology Physician | $498.3K | $0 |
| Robert Hegeman | WI | Medical Oncology Physician | $393.7K | $0 |
| Michael Christopher | WI | Dermatology Physician | $386K | $0 |
| Mark Mounajjed | WI | Infectious Disease Physician | $381.5K | $0 |
| Christine Vetter | WI | Diagnostic Radiology Physician | $367.5K | $0 |
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