ST Croix Gastroenterology Center LLC
ST Croix Gastroenterology Center LLC was paid $115K by Medicaid between Oct 2018 and Nov 2023, across 7 billing codes. Its largest line is 43239, Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple — 35% of everything it billed.
33Billing provider infoST CROIX GASTROENTEROLOGY CENTER LLC
ST CROIX, VI 00820
ST CROIX, VI 00820
33aNPI1992983902assigned 02/01/2008
33bProvider typeSpecialist
28Total paid$115K
24GClaims854
24DCodes billed7
24AFirst – last monthOct 2018 – Nov 2023
Compared with peers
Next to other Specialist providers in Virgin Islands
Rank by total paid#1 of 5
Median peer was paid$18K
This provider vs. median6.4×
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 | 29 | $3K | |
| 2019 | 274 | $32K | |
| 2020 | 140 | $25K | |
| 2021 | 74 | $9K | |
| 2022 | 154 | $23K | |
| 2023 | 183 | $23K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | 35% | 150 | 138 | $40K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 17% | 210 | 195 | $20K |
| 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 | 15% | 125 | 117 | $18K |
| 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 | 14% | 198 | 173 | $16K |
| 45385 | Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) | 13% | 44 | 42 | $15K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 5.3% | 94 | 88 | $6K |
| 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) | <1% | 33 | 29 | $10.06 |
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 officialVAZQUEZ, BRENDA (OFFICE ADMINISTRATOR)