Physician
Albizu, Gustavo
Albizu, Gustavo was paid $24K by Medicaid between Jan 2018 and Nov 2024, across 23 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 53% of everything it billed.
33Billing provider infoALBIZU, GUSTAVO
MOROVIS, PR 00687
MOROVIS, PR 00687
33aNPI1043265374assigned 05/24/2006
33bProvider typeGeneral Practice Physician
28Total paid$24K
24GClaims16,504
24DCodes billed23
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other General Practice Physician providers in Puerto Rico
Rank by total paid#322 of 1,195
Median peer was paid$2K
This provider vs. median12×
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 | 1,930 | $9K | |
| 2019 | 1,949 | $928.21 | |
| 2020 | 2,043 | $2K | |
| 2021 | 2,799 | $4K | |
| 2022 | 1,836 | $2K | |
| 2023 | 3,323 | $5K | |
| 2024incomplete | 2,624 | $274.91 |
Box 24 · Service lines
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 | 53% | 6,346 | 5,205 | $13K |
| 99441 | 18% | 2,780 | 2,253 | $4K | |
| 96160 | 13% | 90 | 89 | $3K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 11% | 2,810 | 2,289 | $3K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 3.0% | 1,815 | 1,169 | $733.79 |
| 99442 | 1.2% | 192 | 183 | $298.99 | |
| 1159F | 0% | 448 | 405 | $0.00 | |
| 1160F | 0% | 371 | 347 | $0.00 | |
| 0521F | 0% | 72 | 71 | $0.00 | |
| 3078F | 0% | 124 | 121 | $0.00 | |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 83 | 83 | $0.00 |
| G2012 | Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion | 0% | 13 | 13 | $0.00 |
11 more codes
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.