Physician
De LA Guardia, Alfredo
De LA Guardia, Alfredo was paid $25K by Medicaid between Jan 2018 and Jul 2019, across 9 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 73% of everything it billed.
33Billing provider infoDE LA GUARDIA, ALFREDO
CHICOPEE, MA 01020
CHICOPEE, MA 01020
33aNPI1841422425assigned 08/17/2009
33bProvider typeObstetrics & Gynecology Physician
28Total paid$25K
24GClaims780
24DCodes billed9
24AFirst – last monthJan 2018 – Jul 2019
Compared with peers
Next to other Obstetrics & Gynecology Physician providers in Massachusetts
Rank by total paid#69 of 216
Median peer was paid$7K
This provider vs. median3.7×
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 | 709 | $24K | |
| 2019 | 71 | $677.57 |
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 | 73% | 314 | 300 | $18K |
| 81025 | 9.4% | 351 | 337 | $2K | |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 4.7% | 14 | 14 | $1K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 4.5% | 12 | 12 | $1K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 2.3% | 28 | 25 | $572.60 |
| 90674 | 2.0% | 22 | 22 | $505.05 | |
| 87591 | Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe | 1.4% | 12 | 12 | $343.80 |
| 87491 | Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe | 1.4% | 12 | 12 | $343.80 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 1.2% | 15 | 12 | $306.75 |
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.