Physician
Luis E Alvarez MD Apmc
Luis E Alvarez MD Apmc was paid $5.48M by Medicaid between Jan 2018 and Dec 2024, across 18 billing codes. Its largest line is 43239, Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple — 20% of everything it billed.
33Billing provider infoLUIS E ALVAREZ MD APMC
NEW IBERIA, LA 70563
NEW IBERIA, LA 70563
33aNPI1649376112assigned 09/15/2006
33bProvider typeGastroenterology Physician
28Total paid$5.48M
24GClaims71,759
24DCodes billed18
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Gastroenterology Physician providers in Louisiana
Rank by total paid#1 of 33
Median peer was paid$83K
This provider vs. median66×
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 | 5,112 | $399K | |
| 2019 | 9,541 | $648K | |
| 2020 | 10,365 | $564K | |
| 2021 | 10,804 | $762K | |
| 2022 | 11,786 | $959K | |
| 2023 | 13,094 | $1.16M | |
| 2024incomplete | 11,057 | $989K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | 20% | 7,785 | 7,420 | $1.11M |
| 45380 | Colonoscopy, flexible; with biopsy, single or multiple | 18% | 5,634 | 5,286 | $993K |
| 88305 | Level IV - Surgical pathology, gross and microscopic examination | 13% | 10,157 | 6,687 | $695K |
| 45385 | Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) | 8.1% | 1,749 | 1,707 | $445K |
| 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% | 5,053 | 4,886 | $356K |
| 45378 | Colonoscopy, flexible; diagnostic, including collection of specimen(s) | 6.1% | 1,575 | 1,533 | $336K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 5.6% | 12,040 | 11,567 | $305K |
| 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 | 5.0% | 7,115 | 6,871 | $274K |
| 43248 | 4.4% | 4,003 | 3,894 | $239K | |
| 88313 | 4.2% | 5,508 | 4,410 | $228K | |
| 88312 | 4.1% | 4,818 | 4,052 | $222K | |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 2.7% | 3,224 | 3,091 | $147K |
6 more codes
| 46930 | 1.3% | 1,259 | $70K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 897 | $28K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 790 | $14K |
| 45384 | <1% | 77 | $12K | |
| 99201 | <1% | 62 | $1K | |
| G0105 | Colorectal cancer screening; colonoscopy on individual at high risk | 0% | 13 | $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 officialALVAREZ, LUIS (OWNER)
| Provider | Location | Paid |
|---|---|---|
| Gi Diagnostic Center | New Iberia, LA | $2.40M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.