Physician
Galue, Gustavo
Galue, Gustavo was paid $344K by Medicaid between Jan 2018 and Dec 2024, across 13 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 69% of everything it billed.
33Billing provider infoGALUE, GUSTAVO
BLOOMINGTON, IL 61704
BLOOMINGTON, IL 61704
33aNPI1295903359assigned 02/12/2008
33bProvider typeFamily Medicine Physician
28Total paid$344K
24GClaims18,028
24DCodes billed13
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Family Medicine Physician providers in Illinois
Rank by total paid#316 of 2,947
Median peer was paid$43K
This provider vs. median8.1×
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 | 2,709 | $94K | |
| 2019 | 3,426 | $95K | |
| 2020 | 3,412 | $64K | |
| 2021 | 3,311 | $54K | |
| 2022 | 2,280 | $13K | |
| 2023 | 1,645 | $16K | |
| 2024incomplete | 1,245 | $8K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 69% | 3,681 | 3,175 | $239K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 26% | 1,998 | 1,628 | $89K |
| 90686 | 2.3% | 418 | 344 | $8K | |
| 81025 | <1% | 767 | 662 | $2K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 10,761 | 10,008 | $2K |
| G2012 | Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion | <1% | 106 | 86 | $1K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | <1% | 16 | 14 | $1K |
| 93005 | Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report | <1% | 33 | 27 | $361.64 |
| 93793 | <1% | 78 | 40 | $343.22 | |
| G0008 | Administration of influenza virus vaccine | <1% | 13 | 13 | $166.08 |
| 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% | 15 | 14 | $53.95 |
| 81002 | <1% | 15 | 13 | $39.35 |
1 more codes
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 0% | 127 | $0.00 |
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.