Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

MEDINA-RIVERA, RAFAEL

NPI: 1568453157 · AIBONITO, PR 00705 · Gastroenterology Physician · NPI assigned 11/02/2005

$758K
Total Medicaid Paid
7,388
Total Claims
6,298
Beneficiaries
7
Codes Billed
2018-01
First Month
2024-12
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,402 $153K
2019 1,590 $181K
2020 988 $96K
2021 836 $81K
2022 862 $80K
2023 1,091 $115K
2024 619 $51K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99070 1,921 1,540 $220K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 466 414 $160K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 2,627 2,226 $128K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 2,017 1,788 $116K
45380 Colonoscopy, flexible; with biopsy, single or multiple 310 290 $115K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) 34 28 $20K
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) 13 12 $0.00