Physician
Advanced Gastroenterology of South Florida, P.A.
Advanced Gastroenterology of South Florida, P.A. was paid $544K by Medicaid between Jan 2018 and Nov 2024, across 14 billing codes. Its largest line is 99223, Prolong inpt eval add15 m — 35% of everything it billed.
33Billing provider infoADVANCED GASTROENTEROLOGY OF SOUTH FLORIDA, P.A.
HIALEAH, FL 33016
HIALEAH, FL 33016
33aNPI1063845113assigned 08/13/2013
33bProvider typeGastroenterology Physician
28Total paid$544K
24GClaims28,592
24DCodes billed14
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Gastroenterology Physician providers in Florida
Rank by total paid#8 of 166
Median peer was paid$27K
This provider vs. median20×
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 | |
|---|---|---|---|
| 2018 | 1,303 | $7K | |
| 2019 | 3,561 | $60K | |
| 2020 | 3,034 | $33K | |
| 2021 | 4,275 | $78K | |
| 2022 | 5,491 | $104K | |
| 2023 | 6,852 | $169K | |
| 2024incomplete | 4,076 | $93K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99223 | Prolong inpt eval add15 m | 35% | 3,551 | 2,803 | $193K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 18% | 16,602 | 4,879 | $97K |
| 99222 | Initial hospital care, per day, moderate complexity | 14% | 3,781 | 2,696 | $76K |
| 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 | 11% | 756 | 671 | $62K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 5.5% | 613 | 343 | $30K |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | 4.9% | 501 | 385 | $27K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 3.3% | 857 | 731 | $18K |
| 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 | 2.8% | 410 | 340 | $15K |
| 45378 | Colonoscopy, flexible; diagnostic, including collection of specimen(s) | 2.3% | 134 | 111 | $13K |
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | 1.6% | 233 | 155 | $9K |
| 43246 | <1% | 64 | 38 | $2K | |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | <1% | 27 | 26 | $2K |
2 more codes
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 officialMOHAN, KARTHIK (PRESIDENT)