Physician

Miguel E. Rodriguez, MD

According to 2025 Medicare claims, Miguel Rodriguez, MD (NPI: 1538117676) practices rheumatology in the Ocala, FL market, with the plurality of this provider's patient population coming from Marion, FL. This provider's primary affiliated billing organization is SIMEDHEALTH LLC (NPI: 1639680127; TIN: 823017080) and primary practice location at 32607-2824. Rodriguez is affiliated with the PBACO Holding, LLC (ACO ID: A1001), participating under the MSSP model.

Rodriguez's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 688 traditional Medicare patients, billed 87,430 HCPCS/CPT codes, and received $1,057,504 in Medicare payments. The top billing code was 99214 (Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more). Part D data shows 2,995 prescription claims across 489 beneficiaries totaling $2,085,810 in drug costs, led by Humira(Cf) Pen (Adalimumab). 2018 DME data shows 24 claims. Open Payments data shows 4 records totaling $79. You can download detailed data with all billing codes (2015-2024). For more recent data, please contact us.

Over the past 10 years, this provider's Medicare Part B carrier billing did not follow a clear longitudinal pattern. Concurrently, Part D prescription costs have moved from a lower plateau to a higher plateau, from $825,926 to $2,085,810. For DME billing, this provider has fewer than 5 years of reported data, so a reliable trend cannot be assigned.

Part B Carrier Billing Trend

Medicare payment trend, with N of patients and claim lines in the table.

Part B Carrier Billing Trend. X-axis: year 2015-2024. Y-axis: Medicare payment, unit: USD. Field: Tot_Mdcr_Pymt_Amt. Source: Medicare Physician & Other Practitioners by Provider.0$800K$1.6M2015 Medicare payment: $887,613 (USD; Tot_Mdcr_Pymt_Amt)2016 Medicare payment: $1,103,622 (USD; Tot_Mdcr_Pymt_Amt)2017 Medicare payment: $1,236,046 (USD; Tot_Mdcr_Pymt_Amt)2018 Medicare payment: $1,600,308 (USD; Tot_Mdcr_Pymt_Amt)2019 Medicare payment: $1,563,566 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $1,339,242 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $1,394,515 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $1,201,305 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $1,030,730 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $1,057,504 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
201574157,428$887,613
201677574,620$1,103,622
201778890,921$1,236,046
2018763112,879$1,600,308
2019799114,673$1,563,566
2020723108,455$1,339,242
2021765115,488$1,394,515
202272098,676$1,201,305
202363685,454$1,030,730
202468887,430$1,057,504

Part D Events Trend

Drug cost trend, with N of patients and prescription claims in the table.

Part D Events Trend. X-axis: year 2015-2024. Y-axis: Drug cost, unit: USD. Field: Tot_Drug_Cst. Source: Medicare Part D Prescribers by Provider.0$1.0M$2.1M2015 Drug cost: $825,926 (USD; Tot_Drug_Cst)2016 Drug cost: $1,034,014 (USD; Tot_Drug_Cst)2017 Drug cost: $1,023,875 (USD; Tot_Drug_Cst)2018 Drug cost: $1,216,025 (USD; Tot_Drug_Cst)2019 Drug cost: $1,272,080 (USD; Tot_Drug_Cst)2020 Drug cost: $1,442,780 (USD; Tot_Drug_Cst)2021 Drug cost: $1,607,425 (USD; Tot_Drug_Cst)2022 Drug cost: $2,043,133 (USD; Tot_Drug_Cst)2023 Drug cost: $1,999,157 (USD; Tot_Drug_Cst)2024 Drug cost: $2,085,810 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
20155143,687$825,926
20165013,486$1,034,014
20174893,236$1,023,875
20185003,350$1,216,025
20194873,172$1,272,080
20204963,194$1,442,780
20215373,494$1,607,425
20225353,376$2,043,133
20235013,167$1,999,157
20244892,995$2,085,810

DME Billing Trend

Medicare payment trend, with N of patients and DME claim records in the table.

DME Billing Trend. X-axis: year 2015-2024. Y-axis: Medicare payment, unit: USD. Field: DME_Suplr_Mdcr_Pymt_Amt. Source: Medicare DME, Devices & Supplies by Referring Provider.0$1.5K$3.0K2016 Medicare payment: $2,958 (USD; DME_Suplr_Mdcr_Pymt_Amt)2018 Medicare payment: $260 (USD; DME_Suplr_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClaimsPayment
2015N/RN/RN/R
2016N/R17$2,958
2017N/RN/RN/R
2018N/R24$260
2019N/RN/RN/R
2020N/RN/RN/R
2021N/RN/RN/R
2022N/RN/RN/R
2023N/RN/RN/R
2024N/RN/RN/R

* / # = suppressed by CMS; 0 = reported zero; N/R = not reported or blank.

Top 5 Part B carrier billing codes in 2024

By total payments.

CodeDescriptionPatientsClm LinesTotal Payment
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more408986$89
99213Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more200289$62
G2211Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's272430$13
80053Blood test, comprehensive group of blood chemicals237337$10
85025Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count238338$8

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
Humira(Cf) PenAdalimumab621,736$458,202
Enbrel SureclickEtanercept431,204$341,296
Orencia ClickjectAbatacept35980$200,357
Enbrel MiniEtanercept18504$125,608
EnbrelEtanercept12336$102,838

Top 5 DME services in 2024

No connected or detailed DME service-level records for 2024.

Open Payments Summary in 2024

CategoryDefinitionRecordsTotal Reported AmountTop Related Entity
General PaymentsReported payment or transfer-of-value amount.4$79ABBVIE INC.
Research PaymentsReported research-related payment or transfer-of-value amount.0$0N/R
Ownership / Investment InterestsReported value of ownership or investment interests.0$0N/R

FAQ

What Medicare data is available for Miguel E. Rodriguez, MD?

Tedicare shows public-source Medicare data for Miguel E. Rodriguez, MD (NPI 1538117676), including provider identity, specialty, market context, Medicare Part B activity, Part D prescribing, DME records, Open Payments where available, billing organization details, and ACO affiliation signals where available. Profile data covers 2015-2024, with current attribution based on 2025 claims where available.

Does Miguel E. Rodriguez, MD have ACO affiliation data?

Miguel E. Rodriguez, MD is shown with ACO affiliation data for PBACO Holding, LLC (MSSP, ACO ID A1001).

What billing organization is linked to Miguel E. Rodriguez, MD?

Miguel E. Rodriguez, MD is linked to SIMEDHEALTH LLC (billing NPI 1639680127) in the available physician profile data.

Does Miguel E. Rodriguez, MD have Open Payments data?

Miguel E. Rodriguez, MD has 4 connected Open Payments records in the available 2024 summary data.

Can I download physician-level Medicare data from Tedicare?

Yes. Tedicare provides sample physician export data and paid custom physician data exports for research, planning, outreach, and market analysis. Exports can include physician profile fields, market and specialty context, billing organization details, ACO affiliation signals where available, and Medicare utilization data.