Pediatric Gastroenterology Associates PLLC

Pediatric Gastroenterology Associates PLLC was paid $10.15M by Medicaid between Mar 2019 and Dec 2024, across 21 billing codes. Its largest line is J1745, Injection, infliximab, excludes biosimilar, 10 mg — 53% of everything it billed.

33Billing provider infoPEDIATRIC GASTROENTEROLOGY ASSOCIATES PLLC
MIAMI, FL 33176

33aNPI1295766558assigned 07/05/2006

33bProvider typePediatric Gastroenterology Physician

28Total paid$10.15M

24GClaims51,560

24DCodes billed21

24AFirst – last monthMar 2019 – Dec 2024

Compared with peers

Next to other Pediatric Gastroenterology Physician providers in Florida

Rank by total paid#2 of 26

Median peer was paid$141K

This provider vs. median72×

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
2019	6,687	$712K
2020	6,041	$1.26M
2021	6,238	$2.40M
2022	13,920	$2.62M
2023	12,225	$2.40M
2024incomplete	6,449	$761K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
J1745	Injection, infliximab, excludes biosimilar, 10 mg	53%	2,112	1,069	$5.37M
99214	Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity	26%	28,867	23,873	$2.61M
99204	Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity	10%	6,071	5,115	$1.05M
99232	Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity	2.3%	2,564	1,176	$232K
99215	Doctor's office visit, returning patient (complex)Prolong outpt/office vis	2.0%	2,164	1,392	$208K
99233	Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m	1.4%	1,274	474	$143K
99244	Office or other outpatient consultation, moderate to high complexity	1.4%	812	474	$138K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	1.4%	1,972	1,817	$138K
96413	Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance	<1%	1,761	1,216	$87K
43239	Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple	<1%	463	365	$84K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	<1%	356	166	$24K
95004	Percutaneous tests with allergenic extracts, immediate type reaction	<1%	43	41	$22K

9 more codes

95165	Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials	<1%	48	$16K
96415		<1%	1,537	$14K
99222	Initial hospital care, per day, moderate complexity	<1%	12	$3K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	<1%	60	$3K
99254		<1%	13	$3K
36415	Collection of venous blood by venipuncture	<1%	1,341	$1K
95018		<1%	27	$884.04
95076		<1%	31	$440.09
99443		0%	32	$0.00

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 officialREEVES-GARCIA, JESSE (PRESIDENT)