Medicaid Provider Spending

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

NPI: 1700500063 · BAYAMON, PR 00959 · Pediatric Gastroenterology Physician · NPI assigned 09/30/2022

$80K
Total Medicaid Paid
679
Total Claims
434
Beneficiary Records
2
Codes Billed
2023-09
First Month
2024-12
Last Month

Provider Details

Authorized OfficialGONZALEZ POLANCO, ESTHERMARI (PRESIDENT)
NPI Enumeration Date09/30/2022

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2023 66 $8K
2024 613 $72K

Billing Codes

CodeDescriptionClaimsBene. RecordsTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 446 265 $48K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 233 169 $31K