Physician
Gastro Atenas LLC
Gastro Atenas LLC was paid $2.21M by Medicaid between Jan 2018 and Dec 2024, across 10 billing codes. Its largest line is 45385, Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) — 24% of everything it billed.
33Billing provider infoGASTRO ATENAS LLC
MANATI, PR 00674
MANATI, PR 00674
33aNPI1306392337assigned 08/30/2016
33bProvider typeGastroenterology Physician
28Total paid$2.21M
24GClaims19,722
24DCodes billed10
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Gastroenterology Physician providers in Puerto Rico
Rank by total paid#4 of 107
Median peer was paid$47K
This provider vs. median47×
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 | 1,876 | $148K | |
| 2019 | 2,390 | $190K | |
| 2020 | 1,727 | $117K | |
| 2021 | 2,535 | $302K | |
| 2022 | 2,663 | $309K | |
| 2023 | 4,218 | $561K | |
| 2024incomplete | 4,313 | $586K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 45385 | Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) | 24% | 892 | 872 | $537K |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | 22% | 1,495 | 1,443 | $497K |
| 45380 | Colonoscopy, flexible; with biopsy, single or multiple | 20% | 1,162 | 1,111 | $439K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 15% | 6,910 | 6,624 | $332K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 10% | 3,691 | 3,555 | $230K |
| 99070 | 5.2% | 3,934 | 3,591 | $116K | |
| 99442 | 1.4% | 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) | 1.3% | 681 | 602 | $29K |
| 99223 | Prolong inpt eval add15 m | <1% | 133 | 129 | $2K |
| 99443 | <1% | 18 | 18 | $2K |
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 officialTIRADO, RAFAEL (CEO)