Physician
Guinto, Danilo
Guinto, Danilo was paid $2.17M by Medicaid between Jan 2018 and Nov 2024, across 42 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 51% of everything it billed.
33Billing provider infoGUINTO, DANILO
ELIZABETH, NJ 07202
ELIZABETH, NJ 07202
33aNPI1598702094assigned 06/01/2006
33bProvider typePediatrics Physician
28Total paid$2.17M
24GClaims68,446
24DCodes billed42
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Pediatrics Physician providers in New Jersey
Rank by total paid#61 of 549
Median peer was paid$154K
This provider vs. median14×
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 | 8,220 | $285K | |
| 2019 | 9,199 | $299K | |
| 2020 | 6,419 | $190K | |
| 2021 | 9,368 | $298K | |
| 2022 | 13,946 | $422K | |
| 2023 | 11,984 | $363K | |
| 2024incomplete | 9,310 | $314K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 51% | 23,396 | 20,540 | $1.11M |
| 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 | 11% | 4,096 | 3,668 | $228K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 6.0% | 2,187 | 2,160 | $130K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 5.0% | 1,881 | 1,828 | $108K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 4.9% | 8,421 | 8,261 | $105K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 4.6% | 1,548 | 1,533 | $99K |
| 90472 | Immunization administration, each additional vaccine (list separately) | 3.3% | 4,350 | 4,250 | $72K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 3.0% | 1,246 | 1,201 | $66K |
| 90649 | 2.3% | 532 | 530 | $51K | |
| 92552 | 2.3% | 4,535 | 4,474 | $50K | |
| 90656 | 1.3% | 2,817 | 2,786 | $28K | |
| 99441 | <1% | 892 | 850 | $17K |
30 more codes
| 99188 | <1% | 859 | $16K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 1,321 | $14K |
| 3008F | <1% | 1,267 | $11K | |
| 90734 | <1% | 406 | $11K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 135 | $10K |
| 36415 | Collection of venous blood by venipuncture | <1% | 1,357 | $7K |
| 99173 | <1% | 2,383 | $6K | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 391 | $6K |
| 36416 | <1% | 449 | $4K | |
| 90670 | <1% | 711 | $4K | |
| 90655 | <1% | 586 | $3K | |
| 90461 | <1% | 101 | $2K | |
| 90715 | <1% | 180 | $1K | |
| 90633 | <1% | 385 | $1K | |
| 90700 | <1% | 333 | $1K | |
| 90716 | <1% | 66 | $756.87 | |
| 90620 | <1% | 102 | $674.52 | |
| 90707 | <1% | 43 | $609.94 | |
| 90723 | <1% | 233 | $508.26 | |
| 85014 | <1% | 282 | $453.66 | |
| 86580 | <1% | 92 | $394.99 | |
| 85018 | <1% | 282 | $383.85 | |
| 36410 | <1% | 28 | $315.60 | |
| 83655 | <1% | 60 | $256.86 | |
| 90713 | <1% | 13 | $232.44 | |
| 90710 | <1% | 81 | $180.00 | |
| 90647 | <1% | 190 | $115.48 | |
| 81002 | <1% | 38 | $63.84 | |
| 90648 | <1% | 128 | $60.40 | |
| 90696 | 0% | 43 | $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.