Miami Gastroenterology Consultants, PA

Miami Gastroenterology Consultants, PA was paid $197K by Medicaid between Jan 2018 and Dec 2024, across 9 billing codes. Its largest line is 99204, doctor's office visit, new patient (more involved) — 42% of everything it billed.

33Billing provider infoMIAMI GASTROENTEROLOGY CONSULTANTS, PA
MIAMI, FL 33156

33aNPI1720160864assigned 10/19/2006

33bProvider typeGastroenterology Physician

28Total paid$197K

24GClaims5,412

24DCodes billed9

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other Gastroenterology Physician providers in Florida

Rank by total paid#16 of 166

Median peer was paid$27K

This provider vs. median7.2×

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
2018	327	$3K
2020	1,248	$31K
2021	783	$19K
2022	949	$34K
2023	1,400	$79K
2024incomplete	705	$31K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
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	42%	997	890	$82K
99232	Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity	18%	1,634	524	$36K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	14%	1,383	1,171	$27K
99223	Prolong inpt eval add15 m	8.5%	382	293	$17K
43239	Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple	7.8%	220	199	$15K
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	7.0%	661	525	$14K
99226		2.0%	82	72	$4K
45378	Colonoscopy, flexible; diagnostic, including collection of specimen(s)	<1%	13	12	$1K
99225		<1%	40	30	$645.16

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 officialRODRIQUEZ, MIGUEL (PARTNER PHYSICIAN)