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Data Sources: Centers for Medicare & Medicaid Services (CMS), Medicare Provider Utilization and Payment Data
Disclaimer: This site is an independent journalism project. Data analysis and editorial content are not affiliated with or endorsed by CMS or any government agency. All spending figures are based on publicly available Medicare payment records.
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Methodology•Download Data
  1. Home
  2. Providers
  3. Rodolfo Batarse
⚕️
MDIndividual

Rodolfo Batarse, M.D.

NPI: 1417914193
Rancho Mirage, CA
10 years of data
Nephrology
$6.9M
Total Payments
27.7K
Beneficiaries
70.5K
Services
2.79x
Markup Ratio

Peer Comparison

99th
percentile in specialty
This provider$6.9M
Specialty median$185.2K

📋 Key Findings

1Billed $6.9M over 10 years
22.79x markup ratio (above median)
399th percentile in Nephrology by payments
4Payments surged 63% in 2018
58 procedures with >3x markup
✓ No flags detected

🔎 Data Analysis

This provider's $6.9M in total Medicare payments ranks in the 99th percentile of Nephrology providers nationally.

Medicare payments to this provider grew 61% from 2014 to 2023.

AI-generated analysis based on Medicare payment data.

Annual Medicare Payments

Annual Services Provided

Avg Payment per Service

Markup Ratio Over Time

📈

Notable: Payments increased 63% in 2018

Year-over-year payment surges can indicate changes in practice volume, new services, or billing pattern shifts.

Submitted Charges vs. Medicare Payments

Average per-service amounts submitted by the provider compared to what Medicare actually paid — the gap represents the markup.

YearAvg SubmittedAvg PaidMarkup RatioGap per ServiceTotal PaymentsServicesBeneficiaries
2014$263.55$88.882.97x$174.67$497.0K5.2K2.1K
2015$226.52$75.702.99x$150.82$605.4K6.6K2.6K
2016$265.35$81.133.27x$184.22$633.7K6.6K2.5K
2017$237.79$76.683.10x$161.11$427.7K5.7K2.5K
2018$237.08$82.372.88x$154.71$696.3K7.9K3.0K
2019$218.18$77.862.80x$140.32$716.9K7.7K3.0K
2020$256.16$91.592.80x$164.57$788.2K7.3K2.7K
2021$301.74$118.362.55x$183.38$938.1K7.4K2.8K
2022$290.24$113.582.56x$176.66$814.8K7.8K3.1K
2023$224.86$100.872.23x$123.99$799.1K8.3K3.4K

Top Procedures (20)

90960Dialysis services (4 or more physician visits per month), patient 20 years of age and older
$1.7M
7.1K services$240.37/svc2.50x markup
99232Subsequent hospital inpatient care, typically 25 minutes per day⚠ 3.3x markup
$832.0K
14.1K services$58.90/svc3.29x markup
90961Dialysis services (2-3 physician visits per month), patient 20 years of age and older
$816.1K
3.7K services$218.91/svc2.28x markup
99214Established patient office or other outpatient, visit typically 25 minutes⚠ 3.5x markup
$738.3K
8.5K services$86.40/svc3.54x markup
99233Subsequent hospital inpatient care, typically 35 minutes per day
$674.7K
7.9K services$85.07/svc2.86x markup
99223Initial hospital inpatient care, typically 70 minutes per day
$619.4K
3.9K services$157.65/svc2.76x markup
99205New patient office or other outpatient visit, typically 60 minutes⚠ 3.6x markup
$239.4K
1.5K services$162.31/svc3.59x markup
99291Critical care delivery critically ill or injured patient, first 30-74 minutes
$225.7K
1.3K services$177.55/svc2.40x markup
90966Home dialysis services per month, patient 20 years of age or older
$196.4K
927 services$211.87/svc1.67x markup
90962Dialysis services (1 physician visit per month), patient 20 years of age and older
$195.4K
1.2K services$158.48/svc2.53x markup
96365Infusion into a vein for therapy, prevention, or diagnosis up to 1 hour
$83.3K
1.4K services$58.75/svc1.68x markup
96360Hydration infusion into a vein 31 minutes to 1 hour
$79.3K
1.9K services$41.89/svc2.69x markup
90935Hemodialysis procedure with one physician evaluation
$68.0K
1.2K services$58.96/svc2.29x markup
99442Physician telephone patient service, 11-20 minutes of medical discussion⚠ 3.1x markup
$60.5K
873 services$69.34/svc3.10x markup
99212Established patient office or other outpatient visit, typically 10 minutes⚠ 3.7x markup
$53.4K
1.5K services$34.80/svc3.72x markup
99211Established patient office or other outpatient visit, typically 5 minutes⚠ 3.6x markup
$45.6K
2.8K services$16.54/svc3.56x markup
96372Injection beneath the skin or into muscle for therapy, diagnosis, or prevention⚠ 3.5x markup
$36.4K
2.5K services$14.40/svc3.47x markup
99213Established patient office or other outpatient visit, typically 15 minutes⚠ 3.9x markup
$29.3K
536 services$54.57/svc3.90x markup
99454Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days
$25.9K
613 services$42.29/svc2.72x markup
99457Management using the results of remote vital sign monitoring per calendar month, first 20 minutes
$24.5K
611 services$40.17/svc2.49x markup
Show detailed table ▾
CodeDescriptionServicesPaymentsAvg/ServiceMarkup
90960Dialysis services (4 or more physician visits per month), patient 20 years of age and older7.1K$1.7M$240.372.50x
99232Subsequent hospital inpatient care, typically 25 minutes per day14.1K$832.0K$58.903.29x
90961Dialysis services (2-3 physician visits per month), patient 20 years of age and older3.7K$816.1K$218.912.28x
99214Established patient office or other outpatient, visit typically 25 minutes8.5K$738.3K$86.403.54x
99233Subsequent hospital inpatient care, typically 35 minutes per day7.9K$674.7K$85.072.86x
99223Initial hospital inpatient care, typically 70 minutes per day3.9K$619.4K$157.652.76x
99205New patient office or other outpatient visit, typically 60 minutes1.5K$239.4K$162.313.59x
99291Critical care delivery critically ill or injured patient, first 30-74 minutes1.3K$225.7K$177.552.40x
90966Home dialysis services per month, patient 20 years of age or older927$196.4K$211.871.67x
90962Dialysis services (1 physician visit per month), patient 20 years of age and older1.2K$195.4K$158.482.53x
96365Infusion into a vein for therapy, prevention, or diagnosis up to 1 hour1.4K$83.3K$58.751.68x
96360Hydration infusion into a vein 31 minutes to 1 hour1.9K$79.3K$41.892.69x
90935Hemodialysis procedure with one physician evaluation1.2K$68.0K$58.962.29x
99442Physician telephone patient service, 11-20 minutes of medical discussion873$60.5K$69.343.10x
99212Established patient office or other outpatient visit, typically 10 minutes1.5K$53.4K$34.803.72x
99211Established patient office or other outpatient visit, typically 5 minutes2.8K$45.6K$16.543.56x
96372Injection beneath the skin or into muscle for therapy, diagnosis, or prevention2.5K$36.4K$14.403.47x
99213Established patient office or other outpatient visit, typically 15 minutes536$29.3K$54.573.90x
99454Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days613$25.9K$42.292.72x
99457Management using the results of remote vital sign monitoring per calendar month, first 20 minutes611$24.5K$40.172.49x

Markup Analysis

Charge-to-Payment Ratio

2.79x

This provider submits charges 2.79 times higher than what Medicare actually pays.

What This Means

A markup ratio of 2.79x means for every $100 Medicare pays, this provider initially charges $279. This is higher than the national average.

Location

Rancho Mirage, CA

Provider Verification

Always verify provider credentials and location before scheduling appointments. This data reflects Medicare payments and may not include all practice locations.

Similar Providers

Other Nephrology providers in CA for peer comparison.

Rodolfo Batarse (you)
$6.9M
Feliciano Serrano, M.D.
$45.3M
Show detailed table ▾
ProviderLocationTotal PaymentsStatus
Feliciano Serrano, M.D.Huntington Park, CA$45.3M✓ Clear

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Data Sources

  • • Centers for Medicare & Medicaid Services (CMS)
  • • Medicare Provider Utilization and Payment Data (2014-2023)
  • • National Plan and Provider Enumeration System (NPPES)

Last Updated: February 2026 (data through 2023, the latest CMS release)

Note: All data is from publicly available Medicare records. OpenMedicare is an independent journalism project not affiliated with CMS.

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