Physician
Alba, Juan
Alba, Juan was paid $122K by Medicaid between Jan 2018 and Nov 2024, across 66 billing codes. Its largest line is 99396, Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years — 43% of everything it billed.
33Billing provider infoALBA, JUAN
NEW YORK, NY 10033
NEW YORK, NY 10033
33aNPI1578649059assigned 10/27/2006
33bProvider typeFamily Medicine Physician
28Total paid$122K
24GClaims57,207
24DCodes billed66
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Family Medicine Physician providers in New York
Rank by total paid#522 of 2,605
Median peer was paid$10K
This provider vs. median12×
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 | 8,825 | $36K | |
| 2019 | 7,637 | $29K | |
| 2020 | 7,604 | $14K | |
| 2021 | 9,692 | $22K | |
| 2022 | 7,170 | $3K | |
| 2023 | 9,125 | $11K | |
| 2024incomplete | 7,154 | $7K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 43% | 2,378 | 2,375 | $52K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 15% | 1,433 | 1,420 | $19K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 9.3% | 576 | 573 | $11K |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | 8.3% | 893 | 879 | $10K |
| 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 | 6.5% | 783 | 777 | $8K |
| 36415 | Collection of venous blood by venipuncture | 3.1% | 5,345 | 5,072 | $4K |
| G0136 | Administration of a standardized, evidence-based assessment of physical activity and nutrition, 5-15 minutes, not more often than every 6 months | 2.6% | 216 | 216 | $3K |
| 0012A | 2.2% | 82 | 82 | $3K | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 2.1% | 3,649 | 3,638 | $3K |
| 0011A | 2.1% | 84 | 84 | $3K | |
| 99397 | 1.3% | 110 | 110 | $2K | |
| H0001 | Alcohol and/or drug assessment | 1.2% | 3,662 | 3,655 | $1K |
54 more codes
| 97802 | <1% | 694 | $1K | |
| 93000 | <1% | 76 | $914.10 | |
| 0064A | <1% | 24 | $640.00 | |
| G0102 | Prostate cancer screening; digital rectal examination | <1% | 64 | $416.61 |
| 3078F | <1% | 1,153 | $374.50 | |
| 3074F | <1% | 1,085 | $345.00 | |
| 1160F | <1% | 2,021 | $212.50 | |
| G9622 | Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method | <1% | 3,535 | $80.44 |
| 3075F | <1% | 323 | $44.50 | |
| 3079F | <1% | 361 | $35.00 | |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | <1% | 1,102 | $15.00 |
| A4556 | Electrodes, (e.g., apnea monitor), per pair | <1% | 75 | $12.38 |
| 3008F | <1% | 4,577 | $0.25 | |
| 91306 | <1% | 37 | $0.08 | |
| G8783 | Normal blood pressure reading documented, follow-up not required | 0% | 1,012 | $0.00 |
| G9150 | National committee for quality assurance - level 3 medical home | 0% | 2,034 | $0.00 |
| 1159F | 0% | 476 | $0.00 | |
| 3016F | 0% | 2,714 | $0.00 | |
| 3725F | 0% | 2,769 | $0.00 | |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 0% | 804 | $0.00 |
| G9383 | Patient received screening for hcv infection within the 12 month reporting period | 0% | 270 | $0.00 |
| 99080 | 0% | 2,396 | $0.00 | |
| 3288F | 0% | 68 | $0.00 | |
| G8483 | Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) | 0% | 44 | $0.00 |
| 1090F | 0% | 69 | $0.00 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 67 | $0.00 |
| G9820 | Documentation of a chlamydia screening test with proper follow-up | 0% | 49 | $0.00 |
| 1158F | 0% | 42 | $0.00 | |
| 0518F | 0% | 69 | $0.00 | |
| G8598 | Aspirin or another antiplatelet therapy used | 0% | 32 | $0.00 |
| 2028F | 0% | 34 | $0.00 | |
| 4013F | 0% | 46 | $0.00 | |
| 1494F | 0% | 55 | $0.00 | |
| 3015F | 0% | 13 | $0.00 | |
| 4320F | 0% | 36 | $0.00 | |
| G8404 | Lower extremity neurological exam performed and documented | 0% | 13 | $0.00 |
| 1000F | 0% | 2,707 | $0.00 | |
| G8734 | Elder maltreatment screen documented as negative, follow-up is not required | 0% | 77 | $0.00 |
| 4293F | 0% | 359 | $0.00 | |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 957 | $0.00 |
| 1170F | 0% | 57 | $0.00 | |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 1,737 | $0.00 |
| 1036F | 0% | 2,670 | $0.00 | |
| 3017F | 0% | 250 | $0.00 | |
| 3014F | 0% | 142 | $0.00 | |
| 1220F | 0% | 293 | $0.00 | |
| 91301 | 0% | 169 | $0.00 | |
| 4010F | 0% | 30 | $0.00 | |
| 1126F | 0% | 28 | $0.00 | |
| 3061F | 0% | 34 | $0.00 | |
| 4086F | 0% | 45 | $0.00 | |
| 99429 | 0% | 28 | $0.00 | |
| 2010F | 0% | 160 | $0.00 | |
| G8418 | Bmi is documented below normal parameters and a follow-up plan is documented | 0% | 14 | $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.