Clinic
Gastrointestinal Center of Hialeah, LLC
Gastrointestinal Center of Hialeah, LLC was paid $260K by Medicaid between Aug 2018 and Nov 2024, across 5 billing codes. Its largest line is 45378, Colonoscopy, flexible; diagnostic, including collection of specimen(s) — 56% of everything it billed.
33Billing provider infoGASTROINTESTINAL CENTER OF HIALEAH, LLC
HIALEAH, FL 33012
HIALEAH, FL 33012
33aNPI1578525853assigned 04/04/2006
33bProvider typeAmbulatory Surgical Clinic/Center
28Total paid$260K
24GClaims1,267
24DCodes billed5
24AFirst – last monthAug 2018 – Nov 2024
Compared with peers
Next to other Ambulatory Surgical Clinic/Center providers in Florida
Rank by total paid#42 of 165
Median peer was paid$41K
This provider vs. median6.3×
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 | 30 | $0.00 | |
| 2019 | 72 | $0.00 | |
| 2020 | 89 | $20K | |
| 2021 | 218 | $40K | |
| 2022 | 174 | $45K | |
| 2023 | 402 | $89K | |
| 2024incomplete | 282 | $67K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 45378 | Colonoscopy, flexible; diagnostic, including collection of specimen(s) | 56% | 576 | 491 | $146K |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | 37% | 477 | 396 | $96K |
| 45385 | Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) | 6.9% | 74 | 67 | $18K |
| G8907 | Patient documented not to have experienced any of the following events: a burn prior to discharge; a fall within the facility; wrong site/side/patient/procedure/implant event; or a hospital transfer or hospital admission upon discharge from the facility | 0% | 70 | 52 | $0.00 |
| G8918 | Patient without preoperative order for iv antibiotic surgical site infection (ssi) prophylaxis | 0% | 70 | 52 | $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 officialTORRES, ORLANDO (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| Castor Eye Care Center, LLC | Philadelphia, PA | $1.63M |
| Oficina Dental DR Orlando Torres INC | Canovanas, PR | $67K |
| Corporacion Coamena De LA Salud | Coamo, PR | $1K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.