Medicaid Provider Spending

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

PUERTO RICO GASTROENTEROLOGY LLC

NPI: 1679279764 · MANATI, PR 00674 · Multi-Specialty Clinic/Center · NPI assigned 02/01/2023

$47K
Total Medicaid Paid
492
Total Claims
328
Beneficiaries
3
Codes Billed
2024-03
First Month
2024-11
Last Month

Provider Details

Authorized OfficialARROYO-MERCADO, FRAY (CO-OWNER)
NPI Enumeration Date02/01/2023

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2024 492 $47K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 233 161 $21K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 178 117 $13K
99223 Prolong inpt eval add15 m 81 50 $12K