Ar Institute of Gastroenterology P S C
Ar Institute of Gastroenterology P S C was paid $493K by Medicaid between Jan 2018 and Jun 2020, across 7 billing codes. Its largest line is 43239, Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple — 43% of everything it billed.
33Billing provider infoAR INSTITUTE OF GASTROENTEROLOGY P S C
PONCE, PR 00717
PONCE, PR 00717
33aNPI1982831970assigned 06/17/2009
33bProvider typeSpecialist
28Total paid$493K
24GClaims4,677
24DCodes billed7
24AFirst – last monthJan 2018 – Jun 2020
Compared with peers
Next to other Specialist providers in Puerto Rico
Rank by total paid#46 of 316
Median peer was paid$26K
This provider vs. median19×
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 | 2,317 | $235K | |
| 2019 | 2,075 | $227K | |
| 2020 | 285 | $31K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | 43% | 787 | 706 | $212K |
| 45380 | Colonoscopy, flexible; with biopsy, single or multiple | 38% | 694 | 624 | $188K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 11% | 2,281 | 2,093 | $57K |
| 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 | 6.1% | 730 | 680 | $30K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | <1% | 119 | 61 | $4K |
| 99253 | <1% | 52 | 50 | $2K | |
| 91065 | <1% | 14 | 14 | $236.23 |
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 officialREYMUNDE, ALVARO (PRESIDENTE)
| Provider | Location | Paid |
|---|---|---|
| Advanced Endoscopy Center PSC | Ponce, PR | $0.00 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.