Physician
Alfredo Guevara, JR., MD
Alfredo Guevara, JR., MD was paid $263K by Medicaid between Aug 2020 and Sep 2024, across 8 billing codes. Its largest line is 99215, doctor's office visit, returning patient (complex) — 51% of everything it billed.
33Billing provider infoALFREDO GUEVARA, JR., MD
NOGALES, AZ 85621
NOGALES, AZ 85621
33aNPI1114543204assigned 06/24/2020
33bProvider typeUrology Physician
28Total paid$263K
24GClaims7,975
24DCodes billed8
24AFirst – last monthAug 2020 – Sep 2024
Compared with peers
Next to other Urology Physician providers in Arizona
Rank by total paid#7 of 29
Median peer was paid$22K
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 | |
|---|---|---|---|
| 2020 | 705 | $29K | |
| 2021 | 2,828 | $107K | |
| 2022 | 1,553 | $57K | |
| 2023 | 1,888 | $50K | |
| 2024incomplete | 1,001 | $20K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 51% | 2,076 | 1,842 | $135K |
| 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 | 22% | 1,135 | 998 | $57K |
| 76857 | 16% | 1,408 | 1,334 | $43K | |
| 99205 | Prolong outpt/office vis | 5.6% | 128 | 125 | $15K |
| 81000 | 2.9% | 2,937 | 2,554 | $8K | |
| 52000 | 1.7% | 51 | 46 | $4K | |
| 76770 | <1% | 15 | 13 | $1K | |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | <1% | 225 | 196 | $125.71 |
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 officialMAVIS, CECIE (BILLING MANAGER/OFFICE MANAGER)