Albisu, Jose

Albisu, Jose was paid $70K by Medicaid between Sep 2018 and May 2024, across 6 billing codes. Its largest line is 43239, Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple — 73% of everything it billed.

33Billing provider infoALBISU, JOSE
CHICAGO, IL 60613

33aNPI1336272913assigned 03/13/2007

33bProvider typeGastroenterology Physician

28Total paid$70K

24GClaims557

24DCodes billed6

24AFirst – last monthSep 2018 – May 2024

Compared with peers

Next to other Gastroenterology Physician providers in Illinois

Rank by total paid#84 of 370

Median peer was paid$16K

This provider vs. median4.3×

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	15	$345.00
2019	74	$2K
2020	78	$4K
2021	27	$5K
2022	161	$29K
2023	133	$17K
2024incomplete	69	$12K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
43239	Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple	73%	285	262	$51K
45380	Colonoscopy, flexible; with biopsy, single or multiple	15%	61	57	$10K
99223	Prolong inpt eval add15 m	8.2%	138	120	$6K
99233	Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m	2.2%	30	14	$2K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	1.3%	29	27	$929.00
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	<1%	14	13	$256.50

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.