Medicaid Provider Spending

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

PEREZ CRUZ, ELADIO

NPI: 1194701706 · SAN JUAN, PR 00909 · Gastroenterology Physician · NPI assigned 12/16/2005

$2.54M
Total Medicaid Paid
20,287
Total Claims
19,406
Beneficiaries
14
Codes Billed
2018-01
First Month
2024-12
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 4,399 $454K
2019 3,506 $406K
2020 2,425 $279K
2021 3,173 $427K
2022 2,319 $317K
2023 2,377 $357K
2024 2,088 $298K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) 2,857 2,771 $794K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 2,309 2,217 $762K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 7,633 7,352 $333K
45384 744 697 $239K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 4,614 4,384 $223K
43235 424 399 $102K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) 80 79 $42K
99070 973 880 $29K
99233 Prolong inpt eval add15 m 193 186 $4K
99254 98 97 $3K
99223 Prolong inpt eval add15 m 157 153 $3K
99232 Subsequent hospital care, per day, moderate complexity 108 101 $2K
99442 80 73 $1K
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) 17 17 $419.13