Ballester Vargas, Veroushka

Ballester Vargas, Veroushka was paid $59K by Medicaid between Nov 2021 and Apr 2024, across 6 billing codes. Its largest line is 99203, doctor's office visit, new patient (routine) — 52% of everything it billed.

33Billing provider infoBALLESTER VARGAS, VEROUSHKA
SAN JUAN, PR 00907

33aNPI1689868150assigned 08/28/2007

33bProvider typeGastroenterology Physician

28Total paid$59K

24GClaims693

24DCodes billed6

24AFirst – last monthNov 2021 – Apr 2024

Compared with peers

Next to other Gastroenterology Physician providers in Puerto Rico

Rank by total paid#51 of 107

Median peer was paid$47K

This provider vs. median1.3×

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
2021	41	$3K
2022	298	$26K
2023	325	$28K
2024incomplete	29	$2K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	52%	379	367	$31K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	27%	239	236	$16K
45380	Colonoscopy, flexible; with biopsy, single or multiple	13%	26	25	$7K
45378	Colonoscopy, flexible; diagnostic, including collection of specimen(s)	5.9%	12	12	$3K
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)	2.0%	25	25	$1K
99070		<1%	12	12	$360.00

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.