Gastrovem, LLC

Gastrovem, LLC was paid $34K by Medicaid between Jan 2018 and Sep 2020, across 4 billing codes. Its largest line is 43239, Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple — 64% of everything it billed.

33Billing provider infoGASTROVEM, LLC
SAN JUAN, PR 00909

33aNPI1467880146assigned 10/16/2013

33bProvider typeGastroenterology Physician

28Total paid$34K

24GClaims540

24DCodes billed4

24AFirst – last monthJan 2018 – Sep 2020

Compared with peers

Next to other Gastroenterology Physician providers in Puerto Rico

Rank by total paid#64 of 107

Median peer was paid$47K

This provider vs. median0.7×

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	379	$26K
2019	109	$7K
2020	52	$2K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
43239	Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple	64%	66	56	$22K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	22%	284	261	$8K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	13%	177	162	$4K
99222	Initial hospital care, per day, moderate complexity	1.0%	13	12	$353.46

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 officialEGUIA MOREDA, VASCO (PRESIDENT OWNER)