ALVARO ENCINAS, M.D.
Family Medicine Physician · LINCOLNWOOD, IL
Individual Active NPI 1891900932
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 266 | 893 | $290,117 | $82,872 | $62,750 |
| 2023 | 213 | 726 | $194,927 | $63,622 | $47,501 |
| 2022 | 110 | 192 | $44,274 | $14,733 | $11,533 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 211 | $76 | $61 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 188 | $126 | $88 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 102 | $89 | $58 |
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 75 | $115 | $93 |
| 99239 | Hospital discharge day management, more than 30 minutes | 74 | $112 | $89 |
| 99231 | Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes | 55 | $47 | $35 |
| 82947 | Blood glucose (sugar) level | 52 | $4 | $4 |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 43 | $126 | $101 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 14 | $129 | $129 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | ✓ | 036125218 | IL |
| Hospitalist Physician | 208M00000X | 59854-20 | WI |
Medicare eligibility
- Part B
- Yes
- DME
- Yes
- Home health
- Yes
- Power mobility
- Yes
- Hospice
- Yes
Other Family Medicine Physician providers in Illinois
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- NPI 1891859468
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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.