Medicaid Provider Spending

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

GASTROINTESTINAL DIAGNOSTIC CLINIC OF PR, LLC

NPI: 1316384100 · MANATI, PR 00674 · Endoscopy Clinic/Center · NPI assigned 06/03/2013

$481K
Total Medicaid Paid
4,266
Total Claims
3,979
Beneficiaries
11
Codes Billed
2018-01
First Month
2024-10
Last Month

Provider Details

Authorized OfficialRIVERA DE JESUS, SAMUEL (OWNER)
NPI Enumeration Date06/03/2013

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,271 $191K
2019 836 $115K
2020 394 $22K
2021 374 $37K
2022 302 $42K
2023 460 $38K
2024 629 $37K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 465 453 $184K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) 307 297 $167K
99070 2,030 1,887 $59K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 621 589 $22K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 258 236 $14K
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) 255 189 $11K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 162 162 $9K
45380 Colonoscopy, flexible; with biopsy, single or multiple 40 39 $6K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) 13 13 $4K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 101 101 $4K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 14 13 $202.41