Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › NY › New York › NPI 1902030869
Physician

Lares-Guia, Jose

Lares-Guia, Jose was paid $15K by Medicaid between Jan 2018 and Jan 2022, across 7 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 68% of everything it billed.

33Billing provider infoLARES-GUIA, JOSE
NEW YORK, NY 10033
33aNPI1902030869assigned 05/07/2009
28Total paid$15K
24GClaims2,906
24DCodes billed7
24AFirst – last monthJan 2018 – Jan 2022
Compared with peers

Next to other General Practice Physician providers in New York

Rank by total paid#106 of 178
Median peer was paid$27K
This provider vs. median0.6×

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

$0$1.0K$2.0K$3.0K2018201920202021202220232024
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
YearClaimsPaid
20181,060$4K
2019816$3K
2020725$5K
2021291$3K
202214$1K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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 68% 622 511 $10K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 13% 499 326 $2K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 10% 313 176 $2K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 4.7% 96 64 $721.62
J1071 Injection, testosterone cypionate, 1 mg 2.5% 232 151 $385.15
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg 1.2% 335 218 $179.35
36415 Collection of venous blood by venipuncture 0% 809 426 $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.