Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

De Jesus-Torres, Gastroenterologos Del Oeste, CSP

De Jesus-Torres, Gastroenterologos Del Oeste, CSP was paid $1.06M by Medicaid between Jan 2018 and Dec 2024, across 9 billing codes. Its largest line is 43239, Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple — 41% of everything it billed.

33Billing provider infoDE JESUS-TORRES, GASTROENTEROLOGOS DEL OESTE, CSP
MAYAGUEZ, PR 00680
33aNPI1386608446assigned 04/14/2006
28Total paid$1.06M
24GClaims12,162
24DCodes billed9
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Gastroenterology Physician providers in Puerto Rico

Rank by total paid#11 of 107
Median peer was paid$47K
This provider vs. median23×

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

$0$20K$40K2018201920202021202220232024
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
YearClaimsPaid
20182,577$213K
20191,744$110K
20201,959$147K
20211,380$112K
2022910$102K
20231,371$137K
2024incomplete2,221$237K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 41% 1,333 1,100 $436K
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% 5,102 4,563 $271K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) 12% 663 528 $129K
99245 8.7% 3,443 3,128 $92K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 7.2% 1,124 817 $77K
45380 Colonoscopy, flexible; with biopsy, single or multiple 4.2% 216 153 $45K
99254 <1% 215 173 $7K
99442 <1% 37 31 $931.80
99233 Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m <1% 29 14 $613.48

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 officialVILANOVA, SAYNIL (SECRETARIA FACTURADORA)