ROGELIO MACHUCA, M.D.
546 N EASTERN AVE STE 140, LAS VEGAS, NV 89101
NPI Number
1245492966
Practice location · View on Google Maps
Total Medicaid Payments
$248,177
-21% vs specialty average
Patients Seen
4,968
Total Claims
5,702
$ Per Patient
$50
Specialty avg: $54
Specialty Rank
#68 of 420
Family Medicine providers in Nevada
Peer Average
$314,431
Average total for Family Medicine
Claims per Patient
1.1
Average visits / services per person
Payments by Year
How much Medicaid paid this provider each year. Large jumps can indicate changes in practice volume or billing patterns.
| Year | Total Paid | % of Max |
|---|---|---|
| 2018 | $248,177 |
Procedure Code Breakdown
The specific medical services this provider billed Medicaid for. Each HCPCS/CPT code represents a different type of visit, test, or treatment.
| HCPCS Code | Description | Claims | Paid | % of Total | Avg per Claim |
|---|---|---|---|---|---|
| 99213 | Office visit for a simple problem (established patient) | 2,578 | $165,992 | 66.9% | $64 |
| 99203 | New patient office visit — moderate problem | 370 | $35,226 | 14.2% | $95 |
| 99212 | Office visit for a minor problem (established patient) | 551 | $20,005 | 8.1% | $36 |
| 96372 | IV infusion or injection of medication | 790 | $15,652 | 6.3% | $20 |
| 93000 | Heart monitoring test (ECG/EKG) | 344 | $4,520 | 1.8% | $13 |
| G0438 | Annual wellness visit — first time | 30 | $2,983 | 1.2% | $99 |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | 447 | $1,887 | 0.8% | $4 |
| 81025 | Pregnancy test (urine) | 223 | $1,183 | 0.5% | $5 |
| 81002 | Urinalysis — quick dipstick test | 306 | $657 | 0.3% | $2 |
| J0696 | Injection of ceftriaxone (antibiotic, usually given for serious infections) | 18 | $46 | 0.0% | $3 |
| J1100 | Injection of dexamethasone (steroid for inflammation, allergies, or breathing problems) | 45 | $27 | 0.0% | $1 |
About This Data
This data comes from the HHS Medicaid Provider Spending dataset (opendata.hhs.gov). It shows payments made through Nevada Medicaid from 2018–2024. High payments do not mean a provider is doing anything wrong — some specialties naturally cost more, and busy providers see more patients. But unusually high numbers compared to peers can be worth a closer look.