Malave Surgical Group,psc

Malave Surgical Group,psc was paid $563K by Medicaid between Jan 2018 and Oct 2024, across 10 billing codes. Its largest line is 99070, — 43% of everything it billed.

33Billing provider infoMALAVE SURGICAL GROUP,PSC
HUMACAO, PR 00791

33aNPI1164846879assigned 02/17/2014

33bProvider typeHepatology Physician

28Total paid$563K

24GClaims6,833

24DCodes billed10

24AFirst – last monthJan 2018 – Oct 2024

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	1,690	$101K
2019	2,033	$166K
2020	135	$9K
2021	695	$69K
2022	816	$72K
2023	1,064	$101K
2024incomplete	400	$46K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99070		43%	2,174	1,749	$242K
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	19%	1,513	1,362	$106K
43239	Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple	18%	375	310	$99K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	13%	2,326	2,011	$74K
45378	Colonoscopy, flexible; diagnostic, including collection of specimen(s)	4.6%	101	74	$26K
G0500	Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monitoring of the patient's level of consciousness and physiological status; initial 15 minutes of intra-service time; patient age 5 years or older (additional time may be reported with 99153, as appropriate)	1.3%	206	173	$7K
99223	Prolong inpt eval add15 m	<1%	42	40	$5K
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	<1%	33	16	$1K
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%	14	14	$1K
99152		<1%	49	34	$422.14

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 officialMALAVE, VICTOR (PRESIDENT)