Medicaid Provider Spending

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

DIGESTIVE MEDICINE ASSOCIATES

NPI: 1700867488 · HIALEAH, FL 33016 · Gastroenterology Physician · NPI assigned 11/09/2005

$183K
Total Medicaid Paid
9,137
Total Claims
3,816
Beneficiaries
12
Codes Billed
2018-01
First Month
2024-10
Last Month

Provider Details

Authorized OfficialMADERAL, FRANCISCO (OWNER/OPERATOR)
NPI Enumeration Date11/09/2005

Related Entities

Other providers sharing the same authorized official: MADERAL, FRANCISCO

ProviderCityStateTotal Paid
DIGESTIVE MEDICINE HISTOLOGY LAB, LLC HIALEAH FL $236K
GULFSTREAM ANESTHESIA GROUP LLC HIALEAH FL $4K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 368 $4K
2019 2,647 $41K
2020 3,597 $52K
2021 1,695 $36K
2022 323 $5K
2023 341 $34K
2024 166 $12K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99232 Subsequent hospital care, per day, moderate complexity 5,208 956 $64K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 603 467 $51K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,922 1,383 $27K
99222 Initial hospital care, per day, moderate complexity 641 438 $15K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 246 183 $12K
99244 Office or other outpatient consultation, moderate to high complexity 118 113 $9K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) 13 13 $3K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 196 150 $1K
99221 20 13 $453.11
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 79 51 $346.47
99231 Subsequent hospital care, per day, straightforward or low complexity 50 12 $150.72
T1015 Clinic visit/encounter, all-inclusive 41 37 $0.00