Gastro Class LLC

Gastro Class LLC was paid $16K by Medicaid between Oct 2023 and Sep 2024, across 4 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 42% of everything it billed.

33Billing provider infoGASTRO CLASS LLC
SAN JUAN, PR 00918

33aNPI1598416067assigned 01/15/2022

33bProvider typeGastroenterology Physician

28Total paid$16K

24GClaims337

24DCodes billed4

24AFirst – last monthOct 2023 – Sep 2024

Compared with peers

Next to other Gastroenterology Physician providers in Puerto Rico

Rank by total paid#74 of 107

Median peer was paid$47K

This provider vs. median0.3×

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
2023	66	$3K
2024incomplete	271	$13K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	42%	97	88	$7K
99070		26%	147	132	$4K
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)	20%	75	60	$3K
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	12%	18	18	$2K

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 officialCLASS, WALISBETH (OWNER)