Physician
Gastro MD Florida, LLC
Gastro MD Florida, LLC was paid $243K by Medicaid between Jan 2018 and Sep 2024, across 11 billing codes. Its largest line is 99233, hospital visit by a doctor, follow-up day (complex) — 58% of everything it billed.
33Billing provider infoGASTRO MD FLORIDA, LLC
ORANGE CITY, FL 32763
ORANGE CITY, FL 32763
33aNPI1821167230assigned 11/07/2006
33bProvider typeGastroenterology Physician
28Total paid$243K
24GClaims7,811
24DCodes billed11
24AFirst – last monthJan 2018 – Sep 2024
Compared with peers
Next to other Gastroenterology Physician providers in Florida
Rank by total paid#14 of 166
Median peer was paid$27K
This provider vs. median8.9×
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
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 | 227 | $137.16 | |
| 2019 | 1,337 | $38K | |
| 2020 | 1,708 | $55K | |
| 2021 | 1,304 | $36K | |
| 2022 | 1,203 | $37K | |
| 2023 | 1,607 | $64K | |
| 2024incomplete | 425 | $12K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 58% | 4,339 | 1,688 | $140K |
| 99223 | Prolong inpt eval add15 m | 15% | 531 | 432 | $36K |
| 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 | 14% | 1,996 | 1,616 | $34K |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | 5.8% | 402 | 336 | $14K |
| 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 | 3.1% | 119 | 107 | $8K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 1.6% | 253 | 215 | $4K |
| 91120 | 1.5% | 14 | 12 | $4K | |
| 88305 | Level IV - Surgical pathology, gross and microscopic examination | 1.3% | 32 | 27 | $3K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | <1% | 62 | 52 | $864.73 |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | <1% | 46 | 43 | $247.25 |
| 91122 | 0% | 17 | 14 | $0.00 |
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 officialGUPTA, VISHAL (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| Advanced Rehab and Pain Management PC | Muskegon, MI | $3K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.