Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

ORTEGA, HIRAM

NPI: 1184828295 · AGUADILLA, PR 00603 · Gastroenterology Physician · NPI assigned 06/13/2007

$3.15M
Total Medicaid Paid
19,999
Total Claims
16,889
Beneficiaries
10
Codes Billed
2018-01
First Month
2024-12
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 4,309 $389K
2019 12 $1K
2020 1,482 $179K
2021 1,091 $180K
2022 3,621 $655K
2023 5,111 $917K
2024 4,373 $827K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) 2,305 1,976 $1.19M
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 2,013 1,708 $661K
99070 5,078 4,016 $455K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 3,936 3,353 $374K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 5,303 4,647 $281K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) 302 265 $79K
45380 Colonoscopy, flexible; with biopsy, single or multiple 287 266 $76K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 422 385 $32K
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) 333 253 $2K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 20 20 $2K