Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Gastro Services PSC

Gastro Services PSC was paid $562K by Medicaid between Jan 2018 and Dec 2024, across 6 billing codes. Its largest line is 45378, Colonoscopy, flexible; diagnostic, including collection of specimen(s) — 29% of everything it billed.

33Billing provider infoGASTRO SERVICES PSC
AGUADILLA, PR 00603
33aNPI1932548518assigned 06/18/2013
28Total paid$562K
24GClaims5,442
24DCodes billed6
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Gastroenterology Physician providers in Puerto Rico

Rank by total paid#24 of 107
Median peer was paid$47K
This provider vs. median12×

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$10K$20K$30K2018201920202021202220232024
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
20181,438$92K
201953$1K
2020890$91K
2021395$40K
202215$1K
20231,143$136K
2024incomplete1,508$200K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) 29% 630 606 $165K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 23% 368 345 $131K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 16% 1,322 1,262 $89K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 14% 931 897 $78K
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 9.3% 1,352 1,184 $52K
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 8.3% 839 773 $47K

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 officialSANTIAGO, WALDO (PRESIDENT)