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

Israel Aviles MD PC

Israel Aviles MD PC was paid $2.49M by Medicaid between Jan 2018 and Dec 2024, across 13 billing codes. Its largest line is 43239, Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple — 26% of everything it billed.

33Billing provider infoISRAEL AVILES MD PC
JACKSON HEIGHTS, NY 11372
33aNPI1548552367assigned 05/12/2011
33bProvider typeEndoscopy Clinic/Center
28Total paid$2.49M
24GClaims23,960
24DCodes billed13
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Endoscopy Clinic/Center providers in New York

Rank by total paid#2 of 12
Median peer was paid$122K
This provider vs. median20×

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$25K$50K$75K2018201920202021202220232024
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
20182,899$321K
20194,162$459K
20204,521$493K
20214,635$471K
20222,683$303K
20232,766$271K
2024incomplete2,294$172K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 26% 1,982 1,969 $656K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 18% 6,388 6,247 $440K
88305 Level IV - Surgical pathology, gross and microscopic examination 11% 2,727 2,677 $281K
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 11% 2,941 2,886 $272K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 8.8% 2,365 2,365 $220K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) 7.6% 673 663 $189K
88342 5.1% 1,593 1,578 $126K
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 4.2% 719 717 $104K
88312 3.7% 1,508 1,507 $92K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 1.6% 838 838 $40K
88313 1.4% 1,473 1,468 $35K
45380 Colonoscopy, flexible; with biopsy, single or multiple <1% 51 50 $19K
1 more codes
88112 <1% 702 $15K

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 officialAVILES, ISRAEL (PRESIDENT)