Physician
Guerrero, Luis
Guerrero, Luis was paid $309K by Medicaid between Jan 2018 and Dec 2024, across 36 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 62% of everything it billed.
33Billing provider infoGUERRERO, LUIS
BRONX, NY 10472
BRONX, NY 10472
33aNPI1922015171assigned 08/01/2006
33bProvider typeInternal Medicine Physician
28Total paid$309K
24GClaims48,851
24DCodes billed36
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Internal Medicine Physician providers in New York
Rank by total paid#649 of 6,049
Median peer was paid$11K
This provider vs. median27×
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 | 5,379 | $28K | |
| 2019 | 7,023 | $37K | |
| 2020 | 5,416 | $33K | |
| 2021 | 7,360 | $48K | |
| 2022 | 8,690 | $57K | |
| 2023 | 8,691 | $61K | |
| 2024incomplete | 6,292 | $44K |
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 | 62% | 6,953 | 6,836 | $191K |
| 99401 | 11% | 5,817 | 5,736 | $34K | |
| 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 | 6.9% | 569 | 550 | $21K |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | 5.7% | 2,356 | 2,323 | $18K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 3.4% | 1,518 | 1,460 | $11K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 3.4% | 194 | 193 | $10K |
| G0444 | Annual depression screening, 5 to 15 minutes | 2.3% | 1,226 | 1,220 | $7K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 1.0% | 66 | 65 | $3K |
| 82947 | 1.0% | 1,688 | 1,668 | $3K | |
| 99397 | <1% | 107 | 105 | $2K | |
| 3078F | <1% | 2,031 | 2,014 | $1K | |
| 3074F | <1% | 1,665 | 1,655 | $1K |
24 more codes
| 3079F | <1% | 1,502 | $1K | |
| 3075F | <1% | 1,575 | $1K | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | <1% | 4,678 | $698.31 |
| 99441 | <1% | 39 | $535.67 | |
| 99442 | <1% | 34 | $481.11 | |
| 1160F | <1% | 3,184 | $395.57 | |
| 1159F | <1% | 3,190 | $328.85 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 15 | $297.35 |
| 1126F | <1% | 971 | $294.01 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 869 | $176.84 |
| 1170F | <1% | 445 | $124.00 | |
| 3077F | <1% | 54 | $50.01 | |
| 3008F | <1% | 3,784 | $0.06 | |
| 1125F | <1% | 37 | $0.02 | |
| 0521F | <1% | 24 | $0.02 | |
| 3353F | 0% | 109 | $0.00 | |
| 3011F | 0% | 475 | $0.00 | |
| 3351F | 0% | 467 | $0.00 | |
| 3061F | 0% | 104 | $0.00 | |
| 3048F | 0% | 24 | $0.00 | |
| 4010F | 0% | 14 | $0.00 | |
| 3288F | 0% | 1,447 | $0.00 | |
| 1090F | 0% | 1,493 | $0.00 | |
| 1158F | 0% | 127 | $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.