Centro De Gastroenterologia Pediatrica Del Oeste
Centro De Gastroenterologia Pediatrica Del Oeste was paid $180K by Medicaid between Jan 2018 and Dec 2024, across 7 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 27% of everything it billed.
MAYAGUEZ, PR 00680
Next to other Pediatric Gastroenterology Physician providers in Puerto Rico
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 907 | $36K | |
| 2019 | 602 | $20K | |
| 2020 | 397 | $22K | |
| 2021 | 372 | $24K | |
| 2022 | 240 | $13K | |
| 2023 | 347 | $22K | |
| 2024incomplete | 566 | $43K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 27% | 800 | 653 | $49K |
| 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 | 20% | 1,162 | 994 | $36K |
| 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 | 18% | 265 | 234 | $32K |
| 99245 | 12% | 571 | 507 | $22K | |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 9.2% | 225 | 208 | $17K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 7.4% | 371 | 263 | $13K |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | 6.5% | 37 | 28 | $12K |
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.
Who's on the registration
| Provider | Location | Paid |
|---|---|---|
| First Choice In-Home Care, LLC | Donna, TX | $49.20M |
| Care Counseling Center | Bridgewater, NJ | $2.12M |
| Maria Elena Rodriguez, M.D. P.A. | Edinburg, TX | $1.79M |
| Yorkville Endoscopy, LLC | New York, NY | $1.04M |
| First Choice Medical Supply & Equipment, LLC. | Donna, TX | $693K |
| Laboratorio Clinico Caribe Medical Plaza,inc. | Vega Alta, PR | $615K |
| Mundo Chico Pediatric Associates, LLC | Union City, NJ | $329K |
| Cardiovascular Consultants of Fresno, a Professional Corporation | Fresno, CA | $212K |
| Honest Care Health Services LLC | Doral, FL | $85K |
| Laboratorio Clinico Elena LLC | Ponce, PR | $57K |
| Rodmart Optical, INC | San German, PR | $10K |
| Rios Laboratory INC. | San Sebastian, PR | $2K |
| Lab Clinico Villanueva | Isabela, PR | $113.10 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.