Medicaid Provider Spending

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

FERNANDEZ-CRUZ, CARLOS

NPI: 1699192765 · SAN JUAN, PR 00909 · Gastroenterology Physician · NPI assigned 03/26/2014

$416K
Total Medicaid Paid
3,880
Total Claims
3,324
Beneficiaries
8
Codes Billed
2021-11
First Month
2024-11
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 26 $1K
2022 846 $87K
2023 1,459 $169K
2024 1,549 $159K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 350 321 $115K
45380 Colonoscopy, flexible; with biopsy, single or multiple 296 276 $92K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 839 783 $71K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,008 925 $67K
99070 919 737 $43K
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) 311 196 $13K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) 21 12 $11K
99153 Mod sedat endo service >5yrs 136 74 $3K