Alvarez, Luis

Alvarez, Luis was paid $513K by Medicaid between Jan 2018 and Dec 2021, across 12 billing codes. Its largest line is 43239, Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple — 26% of everything it billed.

33Billing provider infoALVAREZ, LUIS
NEW IBERIA, LA 70563

33aNPI1174599559assigned 02/27/2006

33bProvider typeGastroenterology Physician

28Total paid$513K

24GClaims4,479

24DCodes billed12

24AFirst – last monthJan 2018 – Dec 2021

Compared with peers

Next to other Gastroenterology Physician providers in Louisiana

Rank by total paid#8 of 33

Median peer was paid$83K

This provider vs. median6.2×

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	1,146	$89K
2019	581	$69K
2020	1,208	$121K
2021	1,544	$234K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
43239	Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple	26%	747	715	$134K
45380	Colonoscopy, flexible; with biopsy, single or multiple	23%	505	482	$118K
88305	Level IV - Surgical pathology, gross and microscopic examination	20%	1,076	708	$104K
88313		12%	620	452	$60K
88312		6.8%	386	312	$35K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	3.5%	527	503	$18K
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	3.5%	196	190	$18K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	1.9%	179	175	$10K
43248		1.6%	121	115	$8K
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	<1%	79	79	$4K
45378	Colonoscopy, flexible; diagnostic, including collection of specimen(s)	<1%	14	14	$3K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	<1%	29	28	$595.92

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.