Medicaid Provider Spending

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

GASTRO ATENAS LLC

NPI: 1306392337 · MANATI, PR 00674 · Gastroenterology Physician · NPI assigned 08/30/2016

$2.21M
Total Medicaid Paid
19,722
Total Claims
18,731
Beneficiaries
10
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialTIRADO, RAFAEL (CEO)
NPI Enumeration Date08/30/2016

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,876 $148K
2019 2,390 $190K
2020 1,727 $117K
2021 2,535 $302K
2022 2,663 $309K
2023 4,218 $561K
2024 4,313 $586K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) 892 872 $537K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 1,495 1,443 $497K
45380 Colonoscopy, flexible; with biopsy, single or multiple 1,162 1,111 $439K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 6,910 6,624 $332K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 3,691 3,555 $230K
99070 3,934 3,591 $116K
99442 806 786 $30K
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) 681 602 $29K
99223 Prolong inpt eval add15 m 133 129 $2K
99443 18 18 $2K