Southeast Gastroenterology PSC

Southeast Gastroenterology PSC was paid $121K by Medicaid between Feb 2018 and Dec 2024, across 7 billing codes. Its largest line is 99070, — 52% of everything it billed.

33Billing provider infoSOUTHEAST GASTROENTEROLOGY PSC
GUAYAMA, PR 00784

33aNPI1750758009assigned 08/21/2015

33bProvider typeGastroenterology Physician

28Total paid$121K

24GClaims1,323

24DCodes billed7

24AFirst – last monthFeb 2018 – Dec 2024

Compared with peers

Next to other Gastroenterology Physician providers in Puerto Rico

Rank by total paid#47 of 107

Median peer was paid$47K

This provider vs. median2.6×

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	135	$1K
2021	264	$28K
2022	368	$38K
2023	506	$50K
2024incomplete	50	$4K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99070		52%	637	500	$63K
43239	Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple	19%	78	44	$23K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	17%	257	200	$21K
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)	5.5%	168	161	$7K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	3.6%	151	145	$4K
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	1.7%	18	18	$2K
99442		<1%	14	14	$1K

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 officialDE JESUS, JOEL (PRESIDENT)