Gualberto, Crisanto

Gualberto, Crisanto was paid $56K by Medicaid between Jan 2018 and Oct 2024, across 4 billing codes. Its largest line is 99212, Office or other outpatient visit for the evaluation and management of an established patient, straightforward — 66% of everything it billed.

33Billing provider infoGUALBERTO, CRISANTO
VANDALIA, MO 63382

33aNPI1043285398assigned 02/21/2006

33bProvider typeGeneral Practice Physician

28Total paid$56K

24GClaims2,613

24DCodes billed4

24AFirst – last monthJan 2018 – Oct 2024

Compared with peers

Next to other General Practice Physician providers in Missouri

Rank by total paid#17 of 69

Median peer was paid$11K

This provider vs. median5.0×

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	556	$13K
2019	426	$7K
2020	371	$7K
2021	241	$5K
2022	270	$6K
2023	415	$11K
2024incomplete	334	$9K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	66%	1,116	884	$37K
99308	Subsequent nursing facility care, per day, straightforward	31%	1,410	928	$17K
99334		2.4%	74	70	$1K
87880	Infectious agent antigen detection by immunoassay; Streptococcus, group A	<1%	13	13	$186.10

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.