Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Guillen, Gregorio

Guillen, Gregorio was paid $6K by Medicaid between Feb 2021 and Aug 2022, across 2 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 83% of everything it billed.

33Billing provider infoGUILLEN, GREGORIO
PERTH AMBOY, NJ 08861
33aNPI1538252226assigned 10/02/2006
28Total paid$6K
24GClaims476
24DCodes billed2
24AFirst – last monthFeb 2021 – Aug 2022
Compared with peers

Next to other Geriatric Medicine (Internal Medicine) Physician providers in New Jersey

Rank by total paid#33 of 51
Median peer was paid$14K
This provider vs. median0.4×

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

$0$500$1.0K2018201920202021202220232024
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
YearClaimsPaid
2021238$2K
2022238$4K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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 83% 411 393 $5K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 17% 65 60 $978.55

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.