Miami Pediatric Gastroenterology LLC
Miami Pediatric Gastroenterology LLC was paid $1.36M by Medicaid between Dec 2018 and Nov 2024, across 7 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 52% of everything it billed.
33Billing provider infoMIAMI PEDIATRIC GASTROENTEROLOGY LLC
MIAMI, FL 33156
MIAMI, FL 33156
33aNPI1679937742assigned 04/05/2016
33bProvider typeSpecialist
28Total paid$1.36M
24GClaims10,640
24DCodes billed7
24AFirst – last monthDec 2018 – Nov 2024
Compared with peers
Next to other Specialist providers in Florida
Rank by total paid#46 of 553
Median peer was paid$31K
This provider vs. median44×
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 | 87 | $9K | |
| 2019 | 1,418 | $189K | |
| 2020 | 1,462 | $171K | |
| 2021 | 2,095 | $259K | |
| 2022 | 2,326 | $311K | |
| 2023 | 2,161 | $280K | |
| 2024incomplete | 1,091 | $142K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 52% | 6,326 | 5,918 | $712K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 16% | 1,407 | 1,284 | $212K |
| 99244 | Office or other outpatient consultation, moderate to high complexity | 15% | 1,408 | 1,357 | $206K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 12% | 929 | 896 | $160K |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | 3.9% | 442 | 415 | $53K |
| 99245 | 1.4% | 116 | 109 | $18K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | <1% | 12 | 12 | $885.19 |
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 officialKOUTOUBY, RAGHAD (MEMBER)