Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

GASTRO MED DE PUERTO RICO PSC

NPI: 1912373432 · CAGUAS, PR 00725 · Medical Specialty Clinic/Center · NPI assigned 08/19/2015

$508K
Total Medicaid Paid
4,092
Total Claims
3,475
Beneficiaries
11
Codes Billed
2018-01
First Month
2024-10
Last Month

Provider Details

Authorized OfficialMARTINEZ, GINES (PRESIDENT)
NPI Enumeration Date08/19/2015

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 2,118 $282K
2019 1,186 $138K
2020 632 $71K
2021 65 $8K
2023 19 $2K
2024 72 $8K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99070 1,406 1,129 $168K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) 448 398 $136K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 355 331 $117K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 726 647 $28K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 506 483 $27K
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) 518 361 $23K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) 12 12 $5K
83013 26 26 $2K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 28 26 $1K
99442 41 36 $923.32
83014 26 26 $237.00