Physician
Quality Gastroenterology LLC
Quality Gastroenterology LLC was paid $757K by Medicaid between Dec 2021 and Dec 2024, across 9 billing codes. Its largest line is 45385, Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) — 21% of everything it billed.
33Billing provider infoQUALITY GASTROENTEROLOGY LLC
TRUJILLO ALTO, PR 00956
TRUJILLO ALTO, PR 00956
33aNPI1528667821assigned 10/19/2020
33bProvider typeGastroenterology Physician
28Total paid$757K
24GClaims6,871
24DCodes billed9
24AFirst – last monthDec 2021 – Dec 2024
Compared with peers
Next to other Gastroenterology Physician providers in Puerto Rico
Rank by total paid#18 of 107
Median peer was paid$47K
This provider vs. median16×
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 | |
|---|---|---|---|
| 2021 | 89 | $7K | |
| 2022 | 2,330 | $279K | |
| 2023 | 2,651 | $355K | |
| 2024incomplete | 1,801 | $117K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 45385 | Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) | 21% | 339 | 311 | $161K |
| 99070 | 20% | 1,825 | 1,441 | $148K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 17% | 1,977 | 1,645 | $130K |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | 17% | 427 | 335 | $125K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 15% | 1,396 | 1,095 | $113K |
| 45378 | Colonoscopy, flexible; diagnostic, including collection of specimen(s) | 5.5% | 171 | 161 | $42K |
| 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) | 3.3% | 683 | 559 | $25K |
| 45380 | Colonoscopy, flexible; with biopsy, single or multiple | 1.8% | 41 | 40 | $14K |
| 99153 | Mod sedat endo service >5yrs | <1% | 12 | 12 | $134.16 |
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 officialBAEZ, FERNANDO (PRESIDENT)