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

Caban Garces, Viviana

Caban Garces, Viviana was paid $933K by Medicaid between Jan 2018 and Dec 2024, across 5 billing codes. Its largest line is 43239, Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple — 40% of everything it billed.

33Billing provider infoCABAN GARCES, VIVIANA
MAYAGUEZ, PR 00680
33aNPI1205941580assigned 08/20/2006
28Total paid$933K
24GClaims7,688
24DCodes billed5
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Gastroenterology Physician providers in Puerto Rico

Rank by total paid#13 of 107
Median peer was paid$47K
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

$0$20K$40K2018201920202021202220232024
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
20181,250$124K
2019512$69K
2020613$49K
20211,112$107K
20221,042$119K
20231,121$145K
2024incomplete2,038$319K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 40% 1,071 889 $372K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) 29% 1,445 1,216 $268K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 15% 2,748 2,472 $138K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 9.7% 1,388 1,130 $91K
99442 6.8% 1,036 886 $64K

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.