Garcia Alvarez, Esperanza

Garcia Alvarez, Esperanza was paid $49K by Medicaid between Jan 2018 and Mar 2022, across 3 billing codes. Its largest line is 99244, Office or other outpatient consultation, moderate to high complexity — 50% of everything it billed.

33Billing provider infoGARCIA ALVAREZ, ESPERANZA
MAYWOOD, IL 60153

33aNPI1235105727assigned 02/24/2006

33bProvider typePediatric Gastroenterology Physician

28Total paid$49K

24GClaims539

24DCodes billed3

24AFirst – last monthJan 2018 – Mar 2022

Compared with peers

Next to other Pediatric Gastroenterology Physician providers in Illinois

Rank by total paid#24 of 45

Median peer was paid$57K

This provider vs. median0.8×

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	143	$10K
2019	145	$12K
2020	51	$5K
2021	174	$20K
2022	26	$2K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99244	Office or other outpatient consultation, moderate to high complexity	50%	163	140	$24K
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	37%	262	243	$18K
99215	Doctor's office visit, returning patient (complex)Prolong outpt/office vis	13%	114	105	$6K

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.