IGLESIAS PEDIATRIC GASTRO CLINIC LLC
NPI: 1871233288
· MAYAGUEZ, PR 00682
· Pediatric Gastroenterology Physician
· NPI assigned 04/01/2022
$212K
Total Medicaid Paid
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2023 |
663 |
$43K |
| 2024 |
1,556 |
$169K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,554 |
875 |
$146K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
273 |
144 |
$34K |
| 99215 |
Prolong outpt/office vis |
108 |
53 |
$16K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
200 |
173 |
$11K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
84 |
81 |
$4K |