Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Eg Peds Gastro

Eg Peds Gastro was paid $80K by Medicaid between Sep 2023 and Dec 2024, across 2 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 61% of everything it billed.

33Billing provider infoEG PEDS GASTRO
BAYAMON, PR 00959
33aNPI1700500063assigned 09/30/2022
28Total paid$80K
24GClaims679
24DCodes billed2
24AFirst – last monthSep 2023 – Dec 2024
Compared with peers

Next to other Pediatric Gastroenterology Physician providers in Puerto Rico

Rank by total paid#9 of 15
Median peer was paid$91K
This provider vs. median0.9×

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

$0$5.0K$10K$15K2018201920202021202220232024
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
YearClaimsPaid
202366$8K
2024incomplete613$72K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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 61% 446 265 $48K
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 39% 233 169 $31K

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 officialGONZALEZ POLANCO, ESTHERMARI (PRESIDENT)