Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › FL › Palm Beach Gardens › NPI 1861700833
Physician

Gastro Group of the Palm Beaches LLP

Gastro Group of the Palm Beaches LLP was paid $36K by Medicaid between Jan 2018 and Sep 2022, across 7 billing codes. Its largest line is 99231, Subsequent hospital care, per day, straightforward or low complexity — 48% of everything it billed.

33Billing provider infoGASTRO GROUP OF THE PALM BEACHES LLP
PALM BEACH GARDENS, FL 33410
33aNPI1861700833assigned 09/23/2010
28Total paid$36K
24GClaims3,266
24DCodes billed7
24AFirst – last monthJan 2018 – Sep 2022
Compared with peers

Next to other Gastroenterology Physician providers in Florida

Rank by total paid#70 of 166
Median peer was paid$27K
This provider vs. median1.3×

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

$0$2.0K$4.0K2018201920202021202220232024
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
YearClaimsPaid
2018220$544.98
2019699$16K
2020783$11K
20211,387$10K
2022177$155.85
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99231 Subsequent hospital care, per day, straightforward or low complexity 48% 2,135 632 $18K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 21% 844 647 $8K
99223 Prolong inpt eval add15 m 17% 76 62 $6K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 4.9% 78 51 $2K
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 3.9% 86 55 $1K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 2.6% 33 24 $950.18
99232 Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity 2.2% 14 12 $812.93

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 officialBOLOGNINI, LISA (CHIEF OPERATING OFFICER)