Physician
Ponce Gastroenterology Society
Ponce Gastroenterology Society was paid $1.11M by Medicaid between Jan 2018 and Dec 2024, across 9 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 32% of everything it billed.
33Billing provider infoPONCE GASTROENTEROLOGY SOCIETY
PONCE, PR 00717
PONCE, PR 00717
33aNPI1265468805assigned 06/24/2006
33bProvider typeGastroenterology Physician
28Total paid$1.11M
24GClaims13,642
24DCodes billed9
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Gastroenterology Physician providers in Puerto Rico
Rank by total paid#10 of 107
Median peer was paid$47K
This provider vs. median24×
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 | |
|---|---|---|---|
| 2018 | 1,616 | $105K | |
| 2019 | 965 | $62K | |
| 2020 | 1,209 | $77K | |
| 2021 | 3,168 | $277K | |
| 2022 | 3,155 | $312K | |
| 2023 | 2,231 | $177K | |
| 2024incomplete | 1,298 | $104K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 32% | 7,135 | 6,464 | $360K |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | 25% | 872 | 821 | $280K |
| 45378 | Colonoscopy, flexible; diagnostic, including collection of specimen(s) | 17% | 706 | 613 | $187K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 13% | 2,230 | 2,153 | $142K |
| 99070 | 7.1% | 1,556 | 1,361 | $80K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 2.1% | 743 | 670 | $23K |
| 45380 | Colonoscopy, flexible; with biopsy, single or multiple | 1.8% | 73 | 66 | $21K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 1.2% | 291 | 227 | $13K |
| 43235 | <1% | 36 | 36 | $9K |
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 officialMARTINEZ-SIERRA, LUIS (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| Instituto De Endoscopia Digestiva Del Sur | Ponce, PR | $604K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.