Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Gastro Sur PSC

Gastro Sur PSC was paid $430K by Medicaid between Sep 2021 and Dec 2024, across 7 billing codes. Its largest line is 43239, Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple — 27% of everything it billed.

33Billing provider infoGASTRO SUR PSC
SALINAS, PR 00751
33aNPI1124575444assigned 09/02/2016
28Total paid$430K
24GClaims3,526
24DCodes billed7
24AFirst – last monthSep 2021 – Dec 2024
Compared with peers

Next to other Gastroenterology Physician providers in Puerto Rico

Rank by total paid#30 of 107
Median peer was paid$47K
This provider vs. median9.2×

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

$0$20K$40K$60K2018201920202021202220232024
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
YearClaimsPaid
2021327$42K
20222,339$317K
2023358$32K
2024incomplete502$39K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 27% 383 301 $116K
45380 Colonoscopy, flexible; with biopsy, single or multiple 24% 334 275 $101K
99070 19% 918 655 $83K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 19% 1,300 1,113 $81K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 9.6% 526 419 $41K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) 1.5% 12 12 $7K
99152 0% 53 44 $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 officialSANTIAGO ROLON, AMARILYS (PRESIDENT)