Physician
Gastromed, LLC
Gastromed, LLC was paid $3.52M by Medicaid between Jan 2018 and Dec 2024, across 40 billing codes. Its largest line is 99204, doctor's office visit, new patient (more involved) — 25% of everything it billed.
33Billing provider infoGASTROMED, LLC
CORAL GABLES, FL 33134
CORAL GABLES, FL 33134
33aNPI1538491063assigned 02/09/2010
33bProvider typeGastroenterology Physician
28Total paid$3.52M
24GClaims126,509
24DCodes billed40
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Gastroenterology Physician providers in Florida
Rank by total paid#1 of 166
Median peer was paid$27K
This provider vs. median129×
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 | 2,235 | $31K | |
| 2019 | 17,946 | $424K | |
| 2020 | 17,356 | $337K | |
| 2021 | 22,685 | $406K | |
| 2022 | 30,970 | $567K | |
| 2023 | 22,148 | $1.15M | |
| 2024incomplete | 13,169 | $608K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 25% | 13,791 | 10,119 | $870K |
| 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 | 17% | 26,872 | 19,393 | $610K |
| 88305 | Level IV - Surgical pathology, gross and microscopic examination | 17% | 9,567 | 7,050 | $594K |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | 8.7% | 11,313 | 8,018 | $307K |
| 45380 | Colonoscopy, flexible; with biopsy, single or multiple | 7.0% | 3,747 | 2,742 | $247K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 5.5% | 10,230 | 3,402 | $195K |
| 45385 | Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) | 5.4% | 1,747 | 1,221 | $191K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 4.1% | 8,191 | 6,450 | $144K |
| 99223 | Prolong inpt eval add15 m | 3.1% | 2,067 | 1,345 | $109K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 3.0% | 6,000 | 2,147 | $105K |
| 45378 | Colonoscopy, flexible; diagnostic, including collection of specimen(s) | 2.1% | 693 | 592 | $72K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 1.4% | 991 | 849 | $49K |
28 more codes
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 175 | $7K |
| 88342 | <1% | 227 | $6K | |
| 43251 | <1% | 50 | $6K | |
| 96413 | Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance | <1% | 44 | $3K |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 268 | $2K |
| 91010 | <1% | 23 | $2K | |
| 99220 | <1% | 57 | $2K | |
| 88341 | <1% | 15 | $346.27 | |
| 91037 | <1% | 21 | $236.76 | |
| 3016F | <1% | 595 | $48.57 | |
| 96415 | <1% | 15 | $41.68 | |
| 1123F | <1% | 315 | $0.41 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | <1% | 7,444 | $0.41 |
| G8482 | Influenza immunization administered or previously received | <1% | 1,090 | $0.41 |
| G8483 | Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) | <1% | 1,903 | $0.41 |
| 1036F | 0% | 5,466 | $0.00 | |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 585 | $0.00 |
| 3017F | 0% | 4,057 | $0.00 | |
| G8952 | Elevated or hypertensive blood pressure reading documented, indicated follow-up not documented, reason not given | 0% | 348 | $0.00 |
| G8950 | Elevated or hypertensive blood pressure reading documented, and the indicated follow-up is documented | 0% | 189 | $0.00 |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 14 | $0.00 |
| 1124F | 0% | 1,534 | $0.00 | |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 2,180 | $0.00 |
| G8783 | Normal blood pressure reading documented, follow-up not required | 0% | 2,448 | $0.00 |
| G8484 | Influenza immunization was not administered, reason not given | 0% | 840 | $0.00 |
| G9622 | Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method | 0% | 520 | $0.00 |
| 4004F | 0% | 863 | $0.00 | |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 0% | 14 | $0.00 |
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 officialLLANO, GLADYS (COO)
| Provider | Location | Paid |
|---|---|---|
| Pelican Anesthesia LLC | Coral Gables, FL | $370K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.