Providers
RICARDO ARTURO RODRIGUEZ, M.D.
NPI 1265637698, individual, Norman, OK, Family Medicine
4
Evidence tier
structure or single-organization volume
- Hours beyond a day in 1 month, but with up to 809 patients a month across 4 billing organizations, which points to a supervising clinician on the claims rather than one person's hours.
- Records needed.
score 51 of 100, rank 8898, $1.3M at stake
Hours billed per day
Medicaid billing converted into hours of hands-on care per day. The lower bound counts one unit per claim line and needs no price; the other two divide dollars by a unit price, the conservative one at 1.5 times the price. The clinician on the claim may be a supervisor under state rules, so billing organizations are counted too.
| month | what was found | hours per day, lower bound | hours per day, at price | hours per day, conservative | per working day | patients | billing organizations | codes | paid |
|---|---|---|---|---|---|---|---|---|---|
| Sep 2021 | More hours than a day holds at a conservative unit price | 14.7 | 40.7 | 27.1 | 37.0 | 809 | 1 | 99203 99204 99205 99213 99214 99215 | $79K |
National provider registry
From the CMS NPPES Registry, refreshed daily.
| Name | RICARDO ARTURO RODRIGUEZ, M.D. |
| Type | Individual, sole proprietor |
| Status | Active |
| NPI issued | June 16, 2007, last updated August 16, 2024 |
| Practice location | 3300 HEALTHPLEX PKWY, Norman, OK 73072-9749, 405-515-1000 |
| Mailing address | PO BOX 1330, Norman, OK 73070-1330 |
| Specialties | Family Medicine (207Q00000X, license 064065 GA) Family Medicine (207Q00000X, primary, license A136989 CA) |
Procedures billed
The specific codes behind the dollars. Medicaid figures come from T-MSIS (2018 to 2024) and are compared with every other provider billing the same code; Medicare figures come from the 2024 physician and supplier file and compare this provider's submitted charge with what Medicare allowed, against the usual ratio for that code.
Medicaid, largest codes
| code | what it is | paid | share | per patient-month | typical | rank among providers | |
|---|---|---|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | $1.1M | 67% | $93 | $60 (top 5% from $133) | 81st percentile | |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | $297K | 18% | $92 | $95 (top 5% from $171) | 46th percentile | |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | $107K | 6% | $93 | $44 (top 5% from $110) | 92nd percentile | |
| 99215 | Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or morehistory of abuse | $99K | 6% | $97 | $88 (top 5% from $210) | 57th percentile | |
| 99203 | New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more | $21K | 1% | $100 | $67 (top 5% from $121) | 88th percentile | |
| 99205 | New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more | $11K | 1% | $96 | $128 (top 5% from $249) | 26th percentile | |
| 87426 | Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus | $11K | 1% | $1.60 | $32 (top 5% from $49) | 7th percentile | |
| 96372 | Injection of drug or substance under skin or into muscle | $1K | 0% | $1.01 | $12 (top 5% from $49) | 15th percentile |
Medicare Part B 2024, largest codes
| code | what it is | services | beneficiaries | paid | submitted per service | allowed per service | charge to allowed | usual for this code |
|---|---|---|---|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 136 | 126 | $11K | $231 | $126 | 1.8x | 2.3x (90th percentile 3.8x) |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 48 | 48 | $5K | $364 | $161 | 2.3x | 2.4x (90th percentile 3.9x) |
| 87426 | Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus | 90 | 82 | $3K | $211 | $34 | 6.2x | 2.8x (90th percentile 4.4x) |
| 99205 | New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more | 19 | 19 | $3K | $486 | $214 | 2.3x | 2.6x (90th percentile 4.2x) |
| 99203 | New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more | 28 | 28 | $2K | $264 | $106 | 2.5x | 2.4x (90th percentile 3.9x) |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 32 | 29 | $2K | $183 | $88 | 2.1x | 2.2x (90th percentile 3.8x) |
| 99215 | Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more | 14 | 14 | $2K | $346 | $178 | 1.9x | 2.4x (90th percentile 4.1x) |
| 87804 | Detection test by immunoassay with direct visual observation for influenza virus | 76 | 55 | $1K | $172 | $16 | 10.8x | 2.5x (90th percentile 3.9x) |
A submitted charge many times the allowed amount is common and lawful; it matters when it is far above what other providers submit for the same code.
In this area
4 providers in Cleveland County, OK carry an indicator in the public record, with $12.6M at stake between them. The most common is more hours than a day holds, on 3 of them, followed by part of a provider network on 1.
| tier | provider | at stake | why |
|---|---|---|---|
| 3 | TRADITIONS HOSPICE OF CHICKASHA, LLC Norman, OK, ranked 2297 | $0 |
|
| 5 | CASEY STEPHENS Oklahoma City, OK, ranked 9986 | $1.9M |
|
| 5 | VIVIAN HASBROOK Norman, OK, ranked 10657 | $10.7M | |
| 5 | TWYLA PUMROY Norman, OK, ranked 11881 | $19K |
Recent enforcement in OK
All releasesDepartment of Justice and HHS-OIG releases for this state, newest first. Each opens in a new tab.
DOJIndictedJun 24, 2026
NDOK Announces Charges Related to the 2026 National Health Care Fraud Takedown
Bowles, operator of three pharmacies, allegedly submitted false claims for reimbursement for COVID-19 tests to Medicare and Medicaid, and a civil forfeiture complaint alleged Dameion Ray improperly used approximately $300,000 of a $600,000 Child Care Desert Grant to purchase real property.
DOJIndictedJun 23, 2026
Western District of Oklahoma Cases Filed as Part of National Health Care Fraud Takedown
Two defendants operating a durable medical equipment company were indicted for submitting fraudulent TRICARE claims for more than 650,000 in-person CPAP-related services they did not provide, and a speech-language pathologist was charged in a civil complaint with submitting more than $2.5 million in false claims to Medicare, Oklahoma Medicaid, and TRICARE for services not rendered or not medically necessary.
DOJSentencedMay 1, 2026
Oklahoma City Woman Sentenced to Federal Prison for $1.1 Million Health Care Fraud Scheme
Allmon submitted thousands of false and fraudulent claims to Blue Cross Blue Shield for behavioral health counseling sessions purportedly provided to family members, including claims of treating beneficiaries for more than 24 hours in a single day.
DOJCivil settlementJan 22, 2026
Traditions Health Agrees to Pay $34M to Resolve False Claims Act Liability Relating to Home Health Services Following Self Disclosure
Traditions submitted claims to Medicare for home health services that were not medically necessary from its McAlester, Oklahoma location and paid remuneration to physician-medical directors in Oklahoma and Texas who referred Medicare beneficiaries to it for home health services.
DOJSentencedOct 14, 2025
Compounding Pharmacy Owner Sent Back to Prison
Compounding pharmacy owner previously convicted of conspiracy to offer and pay health care kickbacks was sentenced for violating supervised release by failing to make restitution payments and concealing accounts, businesses, and asset transfers from Probation.
Referral packet
The packet is a draft for a reviewer. It reads every public record behind this case, states what the records show with a citation for each finding, names the regulation each finding relates to, and lists the ordinary explanations to rule out first. It never asserts intent.