Active NPI 1609889658 Individual Practitioner Male Practitioner

Dr. Rodolfo Rios , MD

Ophthalmology • Lewes, DE

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Rodolfo Rios, MD is a certified Ophthalmology practicing in Lewes, DE. With approximately 40 years of clinical experience since completing medical education in 1986, Dr. Rios delivers high-quality medical care to the local community at 1306 SAVANNAH RD.

Dr. Rios accepts Medicare assignment.

Frequently performed procedures and clinical services include photography of the retina, established patient outpatient office visit, imaging of optic nerve. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1306 Savannah Rd

Lewes, DE 199581526

Telephone 3026448007

Fax 3026442797

Associated Practice Facility / Clinic

🏢 Sussex Eye Care & Medical Associates Pa Facility NPI 1659465805

Medicare Profile & Education

Medical School

Other

Graduation Year

1986

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Ophthalmology in Lewes, DE

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

40 Yrs Matches City Avg

City Avg: 40.0 Yrs

State Avg: 25.4 Yrs

Regional Practice Density

2 Specialists

Practicing in Lewes, DE (67 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

43.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Rios (40 Years) 40 Yrs

Lewes Specialty Average (40.0 Years) 40.0 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92250 Photography of the retina	564	542	$100.00	$38.23
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	531	262	$85.00	$58.76
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	349	334	$135.00	$133.07
99213 Established patient office or other outpatient visit, typically 15 minutes	254	198	$115.00	$94.04
92133 Imaging of optic nerve	191	184	$80.00	$37.53
92083 Exam of visual field with extended testing	182	172	$100.00	$65.45
92014 Established patient complete exam of visual system	171	161	$135.06	$129.38
92136 Measurement of corneal curvature and depth of eye	89	46	$125.00	$39.86
92134 Imaging of retina	79	66	$75.00	$41.86
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	72	72	$181.67	$173.53
66821 Removal of recurring cataract in lens capsule using a laser	52	31	$600.00	$344.28
92004 New patient complete exam of visual system	51	51	$180.00	$153.86
66984 Removal of cataract with insertion of lens	41	24	$500.00	$112.28
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	27	26	$62.22	$24.29
92285 Photography of content of eyes	15	15	$75.00	$24.11
67800 Removal of eyelid growth	12	11	$291.67	$133.38

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92250 Photography of the retina	479	450	$100.00	$37.28
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	348	200	$85.00	$56.35
99213 Established patient office or other outpatient visit, typically 15 minutes	315	220	$115.06	$89.78
92014 Established patient complete exam of visual system	301	257	$135.00	$126.09
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	216	209	$135.00	$127.21
92133 Imaging of optic nerve	174	163	$80.00	$36.59
92083 Exam of visual field with extended testing	147	142	$100.00	$62.48
92004 New patient complete exam of visual system	69	69	$180.00	$149.53
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	46	46	$180.00	$165.81
92134 Imaging of retina	40	35	$75.00	$40.31
92136 Measurement of corneal curvature and depth of eye	40	25	$125.00	$37.15
66821 Removal of recurring cataract in lens capsule using a laser	38	24	$600.00	$331.88
66984 Removal of cataract with insertion of lens	37	20	$500.00	$107.13
92285 Photography of content of eyes	14	14	$75.00	$23.12

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92250 Photography of the retina	516	473	$100.00	$37.65
99213 Established patient office or other outpatient visit, typically 15 minutes	501	303	$115.00	$92.16
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	308	291	$135.00	$129.74
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	275	158	$85.00	$57.38
92133 Imaging of optic nerve	201	194	$80.00	$37.21
92083 Exam of visual field with extended testing	193	185	$97.90	$64.04
92014 Established patient complete exam of visual system	178	165	$135.00	$129.12
92004 New patient complete exam of visual system	96	96	$180.00	$152.84
92134 Imaging of retina	73	57	$75.00	$41.01
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	56	56	$180.00	$169.59
66984 Removal of cataract with insertion of lens	53	30	$500.00	$108.99
92136 Measurement of corneal curvature and depth of eye	49	34	$125.00	$44.51
92285 Photography of content of eyes	30	30	$75.00	$23.20
66821 Removal of recurring cataract in lens capsule using a laser	29	18	$600.00	$337.94
92020 Examination of cornea and iris using lens device and slit lamp	18	16	$50.00	$28.60

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	497	284	$115.00	$94.27
92250 Photography of the retina	485	457	$100.00	$40.34
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	303	290	$133.96	$132.80
92083 Exam of visual field with extended testing	206	195	$95.00	$65.69
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	200	131	$85.00	$58.06
92133 Imaging of optic nerve	187	180	$80.00	$37.33
92014 Established patient complete exam of visual system	156	145	$135.00	$131.43
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	83	83	$180.00	$172.73
92004 New patient complete exam of visual system	77	77	$178.31	$155.96
92134 Imaging of retina	58	46	$75.00	$42.28
92020 Examination of cornea and iris using lens device and slit lamp	41	38	$50.00	$28.89
66821 Removal of recurring cataract in lens capsule using a laser	34	24	$600.00	$347.67
66984 Removal of cataract with insertion of lens	34	20	$500.00	$109.34
92136 Measurement of corneal curvature and depth of eye	23	20	$125.00	$52.45
92285 Photography of content of eyes	14	14	$75.00	$22.24

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	570	314	$112.45	$77.90
92250 Photography of the retina	432	382	$100.00	$46.63
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	257	244	$120.00	$112.36
92083 Exam of visual field with extended testing	211	188	$95.00	$65.92
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	205	124	$85.00	$47.23
92133 Imaging of optic nerve	176	163	$75.17	$37.41
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	102	102	$180.00	$170.62
92020 Examination of cornea and iris using lens device and slit lamp	68	68	$50.00	$28.92
92014 Established patient complete exam of visual system	64	63	$135.00	$130.88
92134 Imaging of retina	46	36	$75.00	$42.32
92285 Photography of content of eyes	36	35	$75.00	$19.43
92004 New patient complete exam of visual system	33	33	$175.00	$156.04
92136 Measurement of corneal curvature and depth of eye	26	19	$125.00	$56.32
66984 Removal of cataract with insertion of lens	25	13	$500.00	$114.15
92025 Ct scan of cornea	18	18	$75.00	$33.14
66821 Removal of recurring cataract in lens capsule using a laser	17	12	$600.00	$345.87

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92226 Examination of eye by ophthalmoscope with retinal drawing	470	245	$72.68	$26.20
92012 Established patient problem focused exam of visual system	427	257	$110.00	$90.76
99213 Established patient office or other outpatient visit, typically 15 minutes	318	198	$100.00	$76.23
92250 Photography of the retina	311	285	$99.94	$51.44
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	300	280	$120.00	$111.58
92083 Exam of visual field with extended testing	261	225	$95.00	$65.95
92133 Imaging of optic nerve	204	195	$75.00	$36.95
92014 Established patient complete exam of visual system	170	162	$135.00	$129.55
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	156	125	$84.87	$46.34
92225 Examination of eye by ophthalmoscope with retinal drawing	93	54	$68.39	$28.38
92134 Imaging of retina	78	62	$75.00	$42.19
92285 Photography of content of eyes	50	49	$75.00	$20.59
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	48	48	$177.81	$166.34
92004 New patient complete exam of visual system	35	35	$175.00	$155.32
66984 Removal of cataract with insertion of lens	33	21	$500.00	$132.41
66821 Removal of recurring cataract in lens capsule using a laser	33	20	$600.00	$343.64
92136 Measurement of corneal curvature and depth of eye	29	22	$129.31	$57.07
76512 Ultrasound of eye disease, growth, or structure	21	13	$125.00	$60.98
92025 Ct scan of cornea	20	20	$75.00	$34.75

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92012 Established patient problem focused exam of visual system	780	372	$108.38	$89.28
92226 Examination of eye by ophthalmoscope with retinal drawing	523	239	$59.96	$25.57
92250 Photography of the retina	432	379	$99.94	$57.58
92083 Exam of visual field with extended testing	289	239	$95.00	$65.62
92014 Established patient complete exam of visual system	265	255	$135.00	$128.75
99213 Established patient office or other outpatient visit, typically 15 minutes	197	130	$94.52	$74.28
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	191	181	$120.00	$109.88
92020 Examination of cornea and iris using lens device and slit lamp	142	141	$45.00	$27.43
92133 Imaging of optic nerve	115	113	$75.00	$36.54
92225 Examination of eye by ophthalmoscope with retinal drawing	89	49	$60.45	$27.68
92134 Imaging of retina	78	61	$75.00	$42.16
92004 New patient complete exam of visual system	56	56	$175.00	$154.03
92285 Photography of content of eyes	46	46	$61.96	$18.30
92136 Measurement of corneal curvature and depth of eye	44	28	$125.00	$62.80
66821 Removal of recurring cataract in lens capsule using a laser	38	22	$600.00	$338.82
92025 Ct scan of cornea	30	30	$75.00	$35.41
76512 Ultrasound of eye disease, growth, or structure	26	16	$125.00	$71.67
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	23	18	$60.22	$44.72
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	18	18	$177.78	$168.60
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	17	16	$45.00	$21.98

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92012 Established patient problem focused exam of visual system	951	368	$90.00	$84.00
92226 Examination of eye by ophthalmoscope with retinal drawing	835	335	$49.88	$24.41
92250 Photography of the retina	508	434	$100.00	$64.68
92020 Examination of cornea and iris using lens device and slit lamp	366	361	$45.00	$26.43
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	308	284	$120.00	$105.68
92083 Exam of visual field with extended testing	277	222	$95.00	$63.08
92133 Imaging of optic nerve	270	250	$75.00	$35.01
92014 Established patient complete exam of visual system	207	188	$135.00	$121.88
92225 Examination of eye by ophthalmoscope with retinal drawing	118	59	$50.00	$26.38
92134 Imaging of retina	98	69	$75.00	$40.11
99213 Established patient office or other outpatient visit, typically 15 minutes	89	86	$85.00	$71.86
92285 Photography of content of eyes	80	79	$50.00	$18.37
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	53	53	$175.00	$162.26
92136 Measurement of corneal curvature and depth of eye	41	28	$125.00	$68.77
66984 Removal of cataract with insertion of lens	33	21	$562.12	$126.10
92004 New patient complete exam of visual system	29	29	$175.00	$146.74
92025 Ct scan of cornea	27	27	$75.00	$33.78
66821 Removal of recurring cataract in lens capsule using a laser	20	15	$600.00	$324.88

Medical Specialties & State Licenses

Ophthalmology Primary Specialty

NUCC Taxonomy Code: 207W00000X

State License DE C10005278

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍

Updated Practice Location July 08, 2007

Registered at 1306 SAVANNAH RD, LEWES, DE 199581526 (Tel: 3026448007)

📍

Updated Business Mailing Address July 08, 2007

Registered at 1306 SAVANNAH RD, LEWES, DE 199581526

👤

Provider Name / Credentials Updated July 08, 2007

Recorded as RODOLFO RIOS, M.D

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Ophthalmology (License #C10005278 in DE)

🟢

Initial NPI Registration & Enumeration August 14, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1609889658

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: August 14, 2006

Last Update: July 08, 2007

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

1306 Savannah Rd

Lewes, DE 199581526

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.