Erick H. Alayo Medical Corporation
Erick H. Alayo Medical Corporation was paid $6.39M by Medicaid between Jan 2018 and Dec 2024, across 23 billing codes. Its largest line is 43239, Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple — 23% of everything it billed.
33Billing provider infoERICK H. ALAYO MEDICAL CORPORATION
CHULA VISTA, CA 91910
CHULA VISTA, CA 91910
33aNPI1588899512assigned 05/19/2009
33bProvider typeSpecialist
28Total paid$6.39M
24GClaims89,355
24DCodes billed23
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Specialist providers in California
Rank by total paid#34 of 1,230
Median peer was paid$51K
This provider vs. median124×
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 | 7,349 | $846K | |
| 2019 | 8,356 | $854K | |
| 2020 | 8,994 | $791K | |
| 2021 | 15,299 | $857K | |
| 2022 | 17,932 | $944K | |
| 2023 | 21,360 | $1.19M | |
| 2024incomplete | 10,065 | $902K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | 23% | 7,266 | 7,232 | $1.45M |
| 45385 | Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) | 17% | 3,431 | 3,395 | $1.11M |
| 45378 | Colonoscopy, flexible; diagnostic, including collection of specimen(s) | 17% | 4,037 | 4,013 | $1.08M |
| 45380 | Colonoscopy, flexible; with biopsy, single or multiple | 10.0% | 2,925 | 2,895 | $636K |
| 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 | 6.5% | 6,312 | 6,301 | $412K |
| 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 | 6.3% | 11,353 | 10,884 | $402K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 5.4% | 6,347 | 6,331 | $345K |
| 99152 | 4.8% | 8,423 | 7,912 | $307K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 4.6% | 12,856 | 11,385 | $292K |
| 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 | 2.8% | 17,001 | 15,259 | $176K |
| 97803 | 1.3% | 3,194 | 2,630 | $80K | |
| 99153 | Mod sedat endo service >5yrs | <1% | 4,335 | 4,294 | $36K |
11 more codes
| 97802 | <1% | 1,167 | $35K | |
| 76981 | <1% | 149 | $12K | |
| 91065 | <1% | 218 | $6K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 124 | $4K |
| 76705 | Ultrasound, abdominal, real time with image documentation; limited | <1% | 87 | $4K |
| 46221 | <1% | 33 | $2K | |
| 99243 | <1% | 25 | $1K | |
| 99244 | Office or other outpatient consultation, moderate to high complexity | <1% | 13 | $967.85 |
| 99205 | Prolong outpt/office vis | <1% | 13 | $757.35 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 31 | $549.59 |
| G2021 | Health care practitioners rendering treatment in place (tip) | 0% | 15 | $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.
From NPPES
Who's on the registration
Authorized officialALAYO, ERICK (PRESIDENT)