Physician
Benalcazar, Luis
Benalcazar, Luis was paid $898K by Medicaid between Jan 2018 and Dec 2024, across 72 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 40% of everything it billed.
33Billing provider infoBENALCAZAR, LUIS
ELIZABETH, NJ 07208
ELIZABETH, NJ 07208
33aNPI1801878269assigned 11/18/2005
33bProvider typeInternal Medicine Physician
28Total paid$898K
24GClaims40,289
24DCodes billed72
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Internal Medicine Physician providers in New Jersey
Rank by total paid#72 of 1,027
Median peer was paid$30K
This provider vs. median30×
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 | 5,407 | $187K | |
| 2019 | 5,938 | $181K | |
| 2020 | 5,583 | $124K | |
| 2021 | 5,551 | $148K | |
| 2022 | 3,698 | $55K | |
| 2023 | 7,464 | $110K | |
| 2024incomplete | 6,648 | $93K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 40% | 10,023 | 9,497 | $364K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 13% | 3,562 | 3,367 | $121K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 9.8% | 1,263 | 1,259 | $88K |
| 93925 | 7.3% | 911 | 906 | $66K | |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | 6.1% | 368 | 368 | $55K |
| 76705 | Ultrasound, abdominal, real time with image documentation; limited | 4.1% | 586 | 580 | $37K |
| 76536 | 2.5% | 317 | 317 | $23K | |
| 93970 | 2.5% | 402 | 397 | $22K | |
| 76775 | 2.4% | 347 | 345 | $22K | |
| 99397 | 1.8% | 785 | 775 | $16K | |
| 93978 | 1.5% | 358 | 356 | $14K | |
| 93000 | 1.4% | 1,796 | 1,777 | $13K |
60 more codes
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 1.1% | 144 | $10K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 1,109 | $8K |
| 99490 | Ccm add 20min | <1% | 3,886 | $8K |
| 76856 | Ultrasound, pelvic (nonobstetric), real time with image documentation; complete | <1% | 113 | $8K |
| 93880 | <1% | 106 | $6K | |
| 93926 | <1% | 44 | $3K | |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | <1% | 1,132 | $3K |
| 99454 | <1% | 734 | $3K | |
| 93971 | <1% | 45 | $2K | |
| 99497 | <1% | 180 | $2K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 1,009 | $2K |
| 90688 | <1% | 509 | $2K | |
| G0444 | Annual depression screening, 5 to 15 minutes | <1% | 755 | $1K |
| G0008 | Administration of influenza virus vaccine | <1% | 429 | $517.29 |
| 93976 | <1% | 14 | $483.40 | |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 329 | $440.50 |
| 99457 | <1% | 720 | $244.04 | |
| 99483 | Prolong outpt/office vis | <1% | 72 | $177.34 |
| 80305 | <1% | 67 | $83.84 | |
| 99453 | <1% | 21 | $74.55 | |
| 99441 | <1% | 14 | $63.85 | |
| 90689 | <1% | 21 | $36.00 | |
| J3420 | Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg | <1% | 12 | $17.88 |
| 1125F | 0% | 261 | $0.00 | |
| G9664 | Patients who are currently statin therapy users or received an order (prescription) for statin therapy | 0% | 151 | $0.00 |
| 3080F | 0% | 105 | $0.00 | |
| 3074F | 0% | 520 | $0.00 | |
| 3075F | 0% | 191 | $0.00 | |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 221 | $0.00 |
| 1126F | 0% | 261 | $0.00 | |
| 3008F | 0% | 235 | $0.00 | |
| 1123F | 0% | 144 | $0.00 | |
| 3079F | 0% | 275 | $0.00 | |
| 1101F | 0% | 88 | $0.00 | |
| 3017F | 0% | 215 | $0.00 | |
| 3066F | 0% | 30 | $0.00 | |
| 4037F | 0% | 33 | $0.00 | |
| 3044F | 0% | 474 | $0.00 | |
| 1170F | 0% | 555 | $0.00 | |
| 3014F | 0% | 224 | $0.00 | |
| 3268F | 0% | 33 | $0.00 | |
| 1030F | 0% | 40 | $0.00 | |
| 3061F | 0% | 62 | $0.00 | |
| 1036F | 0% | 202 | $0.00 | |
| 4010F | 0% | 30 | $0.00 | |
| 3048F | 0% | 30 | $0.00 | |
| G8418 | Bmi is documented below normal parameters and a follow-up plan is documented | 0% | 30 | $0.00 |
| 0509F | 0% | 12 | $0.00 | |
| 3078F | 0% | 834 | $0.00 | |
| 1159F | 0% | 819 | $0.00 | |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 201 | $0.00 |
| 1160F | 0% | 614 | $0.00 | |
| 1158F | 0% | 147 | $0.00 | |
| G8482 | Influenza immunization administered or previously received | 0% | 152 | $0.00 |
| 3095F | 0% | 117 | $0.00 | |
| 3077F | 0% | 546 | $0.00 | |
| G8399 | Patient with documented results of a central dual-energy x-ray absorptiometry (dxa) ever being performed | 0% | 198 | $0.00 |
| 4004F | 0% | 13 | $0.00 | |
| 3051F | 0% | 21 | $0.00 | |
| 2022F | 0% | 22 | $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.