Physician
Miami Gastro LLC
Miami Gastro LLC was paid $27K by Medicaid between Sep 2020 and Oct 2023, across 7 billing codes. Its largest line is 99204, doctor's office visit, new patient (more involved) — 48% of everything it billed.
33Billing provider infoMIAMI GASTRO LLC
HOMESTEAD, FL 33033
HOMESTEAD, FL 33033
33aNPI1033733563assigned 06/01/2020
33bProvider typeGastroenterology Physician
28Total paid$27K
24GClaims604
24DCodes billed7
24AFirst – last monthSep 2020 – Oct 2023
Compared with peers
Next to other Gastroenterology Physician providers in Florida
Rank by total paid#86 of 166
Median peer was paid$27K
This provider vs. median1.0×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2020 | 109 | $2K | |
| 2021 | 24 | $0.00 | |
| 2022 | 124 | $8K | |
| 2023 | 347 | $16K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 48% | 169 | 153 | $13K |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 25% | 192 | 168 | $7K |
| 99223 | Prolong inpt eval add15 m | 9.5% | 52 | 47 | $3K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 9.1% | 133 | 63 | $2K |
| 99220 | 6.5% | 18 | 13 | $2K | |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | 2.1% | 16 | 13 | $572.74 |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | 0% | 24 | 14 | $0.00 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialAVALOS, DANNY (OWNER)
| Provider | Location | Paid |
|---|---|---|
| Miami Gastro at the Keys, P.A. | Key Largo, FL | $6K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.