Medicaid Provider Spending

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

PONCE GASTROENTEROLOGY SOCIETY

NPI: 1265468805 · PONCE, PR 00717 · Gastroenterology Physician · NPI assigned 06/24/2006

$1.11M
Total Medicaid Paid
13,642
Total Claims
12,411
Beneficiaries
9
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialMARTINEZ-SIERRA, LUIS (PRESIDENT)
NPI Enumeration Date06/24/2006

Related Entities

Other providers sharing the same authorized official: MARTINEZ-SIERRA, LUIS

ProviderCityStateTotal Paid
INSTITUTO DE ENDOSCOPIA DIGESTIVA DEL SUR PONCE PR $604K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,616 $105K
2019 965 $62K
2020 1,209 $77K
2021 3,168 $277K
2022 3,155 $312K
2023 2,231 $177K
2024 1,298 $104K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 7,135 6,464 $360K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 872 821 $280K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) 706 613 $187K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 2,230 2,153 $142K
99070 1,556 1,361 $80K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 743 670 $23K
45380 Colonoscopy, flexible; with biopsy, single or multiple 73 66 $21K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 291 227 $13K
43235 36 36 $9K