Gonzalez Astacio, Gustavo

Gonzalez Astacio, Gustavo was paid $296K by Medicaid between Feb 2019 and Sep 2024, across 10 billing codes. Its largest line is 99291, Critical care, evaluation and management of the critically ill patient, first 30-74 minutes — 50% of everything it billed.

33Billing provider infoGONZALEZ ASTACIO, GUSTAVO
CAGUAS, PR 00725

33aNPI1922388982assigned 08/23/2011

33bProvider typeCritical Care Medicine (Internal Medicine) Physician

28Total paid$296K

24GClaims2,975

24DCodes billed10

24AFirst – last monthFeb 2019 – Sep 2024

Compared with peers

Next to other Critical Care Medicine (Internal Medicine) Physician providers in Puerto Rico

Rank by total paid#3 of 19

Median peer was paid$57K

This provider vs. median5.2×

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
2019	361	$13K
2020	274	$21K
2021	670	$72K
2022	407	$44K
2023	863	$97K
2024incomplete	400	$48K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99291	Critical care, evaluation and management of the critically ill patient, first 30-74 minutes	50%	904	238	$148K
99233	Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m	35%	1,405	582	$104K
99223	Prolong inpt eval add15 m	6.4%	126	124	$19K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	2.5%	107	102	$7K
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	2.4%	69	63	$7K
99232	Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity	1.3%	164	62	$4K
99222	Initial hospital care, per day, moderate complexity	1.1%	35	34	$3K
99254		<1%	42	36	$2K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	<1%	17	15	$1K
94760		<1%	106	96	$124.35

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.