Alva, Manuel

Alva, Manuel was paid $482K by Medicaid between Jan 2018 and Nov 2024, across 11 billing codes. Its largest line is 43239, Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple — 51% of everything it billed.

33Billing provider infoALVA, MANUEL
BERWYN, IL 60402

33aNPI1255405452assigned 11/20/2006

33bProvider typeGastroenterology Physician

28Total paid$482K

24GClaims4,128

24DCodes billed11

24AFirst – last monthJan 2018 – Nov 2024

Compared with peers

Next to other Gastroenterology Physician providers in Illinois

Rank by total paid#20 of 370

Median peer was paid$16K

This provider vs. median30×

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	134	$6K
2019	665	$76K
2020	740	$77K
2021	980	$121K
2022	616	$79K
2023	540	$68K
2024incomplete	453	$54K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
43239	Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple	51%	1,529	1,421	$247K
45385	Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s)	22%	483	467	$108K
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	12%	1,383	1,263	$58K
99244	Office or other outpatient consultation, moderate to high complexity	8.1%	307	269	$39K
45380	Colonoscopy, flexible; with biopsy, single or multiple	3.5%	114	101	$17K
45378	Colonoscopy, flexible; diagnostic, including collection of specimen(s)	1.3%	39	38	$6K
99243		1.0%	58	49	$5K
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	<1%	32	31	$1K
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%	26	24	$621.58
99152		<1%	74	58	$561.02
G0500	Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monitoring of the patient's level of consciousness and physiological status; initial 15 minutes of intra-service time; patient age 5 years or older (additional time may be reported with 99153, as appropriate)	<1%	83	77	$353.89

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.