Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

GASTROENTEROLOGY CENTRE C.S.P.

NPI: 1992790133 · GUAYAMA, PR 00784 · Gastroenterology Physician · NPI assigned 09/14/2005

$1.37M
Total Medicaid Paid
11,106
Total Claims
9,243
Beneficiaries
9
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialLUGO ZAMBRANA, RUBEN (PRESIDENT)
NPI Enumeration Date09/14/2005

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 2,203 $267K
2019 1,424 $144K
2020 1,601 $187K
2021 2,093 $266K
2022 1,586 $203K
2023 2,045 $288K
2024 154 $14K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 1,647 1,384 $457K
99070 2,823 2,021 $269K
45380 Colonoscopy, flexible; with biopsy, single or multiple 892 831 $261K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 2,755 2,400 $124K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 1,075 969 $81K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) 132 130 $66K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 1,081 952 $62K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 385 353 $37K
G0500 Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monitoring of the patient's level of consciousness and physiological status; initial 15 minutes of intra-service time; patient age 5 years or older (additional time may be reported with 99153, as appropriate) 316 203 $12K