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

Victores, Luis

Victores, Luis was paid $136K by Medicaid between Mar 2018 and Dec 2024, across 9 billing codes. Its largest line is 99204, doctor's office visit, new patient (more involved) — 37% of everything it billed.

33Billing provider infoVICTORES, LUIS
HIALEAH, FL 33012
33aNPI1952330508assigned 07/03/2006
28Total paid$136K
24GClaims4,278
24DCodes billed9
24AFirst – last monthMar 2018 – Dec 2024
Compared with peers

Next to other Gastroenterology Physician providers in Florida

Rank by total paid#25 of 166
Median peer was paid$27K
This provider vs. median5.0×

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$4.0K$6.0K2018201920202021202220232024
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
2018247$965.63
20191,107$24K
20201,061$22K
2021238$6K
2022494$26K
2023743$37K
2024incomplete388$21K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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 37% 564 535 $51K
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 31% 1,463 1,246 $43K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 18% 786 674 $24K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 4.9% 114 114 $7K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 3.6% 205 186 $5K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) 3.4% 47 42 $5K
99223 Prolong inpt eval add15 m <1% 167 122 $1K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) <1% 13 12 $1K
99232 Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity <1% 919 139 $221.45

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.