Gastro Med Del Sur, P.S.C.
Gastro Med Del Sur, P.S.C. was paid $29K by Medicaid between May 2021 and Sep 2023, across 5 billing codes. Its largest line is 99070, — 48% of everything it billed.
33Billing provider infoGASTRO MED DEL SUR, P.S.C.
PONCE, PR 00716
PONCE, PR 00716
33aNPI1245231497assigned 08/09/2005
33bProvider typeSpecialist
28Total paid$29K
24GClaims405
24DCodes billed5
24AFirst – last monthMay 2021 – Sep 2023
Compared with peers
Next to other Specialist providers in Puerto Rico
Rank by total paid#154 of 316
Median peer was paid$26K
This provider vs. median1.1×
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
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 | |
|---|---|---|---|
| 2021 | 72 | $4K | |
| 2022 | 143 | $8K | |
| 2023 | 190 | $17K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99070 | 48% | 146 | 132 | $14K | |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 17% | 64 | 63 | $5K |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | 13% | 12 | 12 | $4K |
| 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) | 11% | 139 | 126 | $3K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 11% | 44 | 43 | $3K |
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, CARMEN (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| NM Cuidado Casero Home Health LLC | Anthony, NM | $27.24M |
| C&L Esperanza Home Health INC | Southlake, TX | $14.70M |
| Cuidado Casero Home Health Central, INC. | Austin, TX | $7.67M |
| CC Home Health of Lubbock LLC | Lubbock, TX | $5.17M |
| Mediko Red Aliado Corp | Gurabo, PR | $38K |
| CC Home Health Lubbock LLC | Lubbock, TX | $0.00 |
| C&L Esperanza Home Health, INC | Southlake, TX | $0.00 |
| Cuidado Casero Home Health of El Paso INC | El Paso, TX | $0.00 |
| Cuidado Casero Home Health Central, INC. | Austin, TX | $0.00 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.