Rca Gastro Services P.S.C

Rca Gastro Services P.S.C was paid $71K by Medicaid between Feb 2022 and Dec 2024, across 4 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 69% of everything it billed.

33Billing provider infoRCA GASTRO SERVICES P.S.C
COTO LAUREL, PR 00780

33aNPI1386159549assigned 12/11/2017

33bProvider typeClinic/Center

28Total paid$71K

24GClaims840

24DCodes billed4

24AFirst – last monthFeb 2022 – Dec 2024

Compared with peers

Next to other Clinic/Center providers in Puerto Rico

Rank by total paid#51 of 117

Median peer was paid$38K

This provider vs. median1.9×

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
2022	445	$36K
2023	366	$32K
2024incomplete	29	$3K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	69%	721	615	$49K
45380	Colonoscopy, flexible; with biopsy, single or multiple	16%	51	43	$11K
43239	Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple	10%	26	26	$7K
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	5.1%	42	33	$4K

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 officialCORDERO ARILL, RAFAEL (PRESIDENT)