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
HIALEAH, FL 33012
33aNPI1952330508assigned 07/03/2006
33bProvider typeGastroenterology Physician
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
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 | |
|---|---|---|---|
| 2018 | 247 | $965.63 | |
| 2019 | 1,107 | $24K | |
| 2020 | 1,061 | $22K | |
| 2021 | 238 | $6K | |
| 2022 | 494 | $26K | |
| 2023 | 743 | $37K | |
| 2024incomplete | 388 | $21K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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.