Estremera-Marcial, Rodolfo

Estremera-Marcial, Rodolfo was paid $274K by Medicaid between Nov 2021 and Oct 2024, across 6 billing codes. Its largest line is 45380, Colonoscopy, flexible; with biopsy, single or multiple — 34% of everything it billed.

33Billing provider infoESTREMERA-MARCIAL, RODOLFO
SAN JUAN, PR 00919

33aNPI1588922520assigned 04/27/2012

33bProvider typeGastroenterology Physician

28Total paid$274K

24GClaims2,748

24DCodes billed6

24AFirst – last monthNov 2021 – Oct 2024

Compared with peers

Next to other Gastroenterology Physician providers in Puerto Rico

Rank by total paid#38 of 107

Median peer was paid$47K

This provider vs. median5.9×

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	53	$2K
2022	595	$47K
2023	1,364	$156K
2024incomplete	736	$68K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
45380	Colonoscopy, flexible; with biopsy, single or multiple	34%	296	284	$94K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	18%	633	575	$49K
43239	Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple	17%	143	141	$47K
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%	725	700	$47K
99070		10%	745	623	$28K
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)	3.4%	206	155	$9K

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.