RVW GASTROENTEROLOGY PSC

$29K

Total Medicaid Paid

508

Total Claims

470

Beneficiaries

4

Codes Billed

2018-01

First Month

2018-10

Last Month

Authorized Official	VENDRELL, ROBERTO (PHYSICIAN)
NPI Enumeration Date	11/21/2009

Year	Claims	Total Paid
2018	508	$29K

Code	Description	Claims	Beneficiaries	Total Paid
43239	Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple	61	51	$20K
99213	Office or other outpatient visit for the evaluation and management of an established patient, low complexity	292	268	$6K
99204	Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity	102	101	$2K
99203	Office or other outpatient visit for the evaluation and management of a new patient, low complexity	53	50	$1K

Medicaid Provider Spending