Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › FL › Key Largo › NPI 1497482160
Physician

Miami Gastro at the Keys, P.A.

Miami Gastro at the Keys, P.A. was paid $6K by Medicaid between Jul 2023 and Oct 2024, across 3 billing codes. Its largest line is 99223, Prolong inpt eval add15 m — 68% of everything it billed.

33Billing provider infoMIAMI GASTRO AT THE KEYS, P.A.
KEY LARGO, FL 33037
33aNPI1497482160assigned 08/03/2022
28Total paid$6K
24GClaims103
24DCodes billed3
24AFirst – last monthJul 2023 – Oct 2024
Compared with peers

Next to other Gastroenterology Physician providers in Florida

Rank by total paid#114 of 166
Median peer was paid$27K
This provider vs. median0.2×

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$1.0K$2.0K$3.0K2018201920202021202220232024
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
202354$3K
2024incomplete49$3K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99223 Prolong inpt eval add15 m 68% 66 52 $4K
99204 Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 23% 19 17 $1K
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 9.4% 18 13 $580.90

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 officialAVALOS, DANNY (OWNER)
Same official

Other billing entities under AVALOS, DANNY

Full network →
ProviderLocationPaid
Miami Gastro LLCHomestead, FL$27K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.