BARNIE P. RODRIGUEZ, P.A.
NPI 1639395221, individual, Roswell, NM, Physician Assistant
- Medicaid dollars per patient on code 99232 ($201 per patient-month) sit in the top 5% of every provider billing that code.
National provider registry
From the CMS NPPES Registry, refreshed daily.
| Name | BARNIE P. RODRIGUEZ, P.A. |
| Type | Individual |
| Status | Active |
| NPI issued | April 18, 2007, last updated October 24, 2019 |
| Practice location | 1700 N UNION AVE, Roswell, NM 88201-3267, 575-623-1303 |
| Mailing address | PO BOX 1974, Roswell, NM 88202-1974 |
| Specialties | Physician Assistant (363A00000X, primary, license 93-PA21 NM) |
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.
| code | what it is | paid | share | per patient-month | typical | rank among providers | |
|---|---|---|---|---|---|---|---|
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | $1.2M | 44% | $201 | $67 (top 5% from $174) | 97th percentile | |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | $492K | 18% | $60 | $44 (top 5% from $110) | 72nd percentile | |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | $359K | 13% | $74 | $60 (top 5% from $133) | 65th percentile | |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | $352K | 13% | $123 | $63 (top 5% from $137) | 92nd percentile | |
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | $147K | 5% | $113 | $96 (top 5% from $249) | 62nd percentile | |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | $93K | 3% | $158 | $81 (top 5% from $170) | 93rd percentile | |
| 99442 | Telephone medical discussion with physician, 11-20 minutes | $52K | 2% | $93 | $21 (top 5% from $104) | 93rd percentile | |
| 99443 | Telephone medical discussion with physician, 21-30 minutes | $17K | 1% | $122 | $31 (top 5% from $184) | 91st percentile |
| code | what it is | services | beneficiaries | paid | submitted per service | allowed per service | charge to allowed | usual for this code |
|---|---|---|---|---|---|---|---|---|
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 1,262 | 212 | $64K | $150 | $64 | 2.3x | 2.6x (90th percentile 4.3x) |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 104 | 101 | $9K | $290 | $106 | 2.7x | 2.7x (90th percentile 4.4x) |
| 99442 | Telephone medical discussion with physician, 11-20 minutes | 28 | 25 | $2K | $105 | $72 | 1.4x | 2.1x (90th percentile 3.7x) |
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
3 providers in Chaves County, NM carry an indicator in the public record, with $2.9M at stake between them. The most common is more hours than a day holds, on 2 of them, followed by part of a provider network on 1.
| tier | provider | at stake | why |
|---|---|---|---|
| 3 | NEW MEXICO HEALTHCARE SERVICES LLC Roswell, NM, ranked 7076 | $0 |
|
| 5 | RUBEN SUPAN Roswell, NM, ranked 10003 | $1.7M |
|
| 5 | ABELARDO GARCIA Roswell, NM, ranked 10972 | $1.2M |
Recent enforcement in NM
All releasesDepartment of Justice and HHS-OIG releases for this state, newest first. Each opens in a new tab.
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.