Medicaid Provider Spending

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

ADVANCED GASTROENTEROLOGY CENTER, PSC

NPI: 1689003576 · AGUADA, PR 00602 · Endoscopy Clinic/Center · NPI assigned 11/01/2013

$416K
Total Medicaid Paid
4,704
Total Claims
4,331
Beneficiaries
7
Codes Billed
2018-01
First Month
2024-10
Last Month

Provider Details

Authorized OfficialORTEGA, HIRAM (GASTROENTEROLOGIST)
NPI Enumeration Date11/01/2013

Related Entities

Other providers sharing the same authorized official: ORTEGA, HIRAM

ProviderCityStateTotal Paid
AGUADA MEDICAL CENTER INC. AGUADA PR $991K
AGUADA MEDICAL CENTER INC. AGUADA PR $211K
AGUADA MEDICAL CENTER, INC. AGUADA PR $96K
PRIME MEDICA PSC AGUADA PR $1K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 717 $55K
2019 929 $68K
2020 668 $64K
2021 435 $39K
2022 443 $40K
2023 733 $74K
2024 779 $76K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) 215 200 $116K
99070 1,324 1,172 $90K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,738 1,678 $74K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 982 940 $67K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 167 151 $54K
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) 250 162 $12K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 28 28 $2K