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NPI 1295903359 · Bloomington, IL · Family Medicine Physician
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Gustavo Galue is a family medicine physician provider located in Bloomington, Illinois. This profile covers 18 Medicare and 13 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.
Provider details (source: NPPES NPI Registry)
| Field | Value |
|---|---|
| Entity Type | Individual |
| Organization | Gustavo Galue |
| Address | 1701 E College Ave |
| City | Bloomington |
| State | IL |
| ZIP | 61704 |
| Taxonomy | Family Medicine Physician |
| NPI Enumerated | February 12, 2008 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $343.6K |
| Medicare | $136.9K |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
18 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 99214 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the… | 700 | $80 | $54.4K |
| 36415 | In this procedure, the provider inserts a needle into a vein to collect a blood sample. | 6,360 | $10 | $50.9K |
| 90694 | This code represents a vaccine product administered into the muscle to protect against four strains of influenza (flu). It is an inactivated, adjuvanted, preservative–free vaccine given as a 0.5 mL… | 130 | $70 | $9.6K |
| 99215 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the… | 40 | $130 | $5.1K |
| G0008 | Administration of influenza virus vaccine | 130 | $30 | $4K |
| 91320 | This code represents a SARS–CoV–2 vaccine product (tris–sucrose formulation) administered by intramuscular injection to reduce the patient’s risk of contracting COVID–19. The dosage is 30 mcg/0.3 mL. | 20 | $130 | $2.8K |
| 99213 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the… | 40 | $50 | $2K |
| 99211 | An established patient presents for an office or other outpatient visit that may not require the presence of a physician or other qualified healthcare professional. | 100 | $20 | $1.5K |
| 96372 | A therapeutic, prophylactic, or diagnostic substance (a fluid, a drug, etc.) is injected via intramuscular or subcutaneous route into the patient's body. The procedure is performed by the physician… | 140 | $10 | $1.4K |
| 0124A | N/A | 20 | $40 | $800 |
Showing 1–10 of 18
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 18 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
18 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| 91320 | 757 | 940 | 90 | $130 | $17.2K |
| 99214 | 876 | 18,540 | 110 | $80 | $17.1K |
| 99215 | 3,260 | 6,240 | 40 | $120 | $10.1K |
| 99213 | 12,142 | 17,390 | 70 | $60 | $8.8K |
| 90694 | 368 | 1,830 | 60 | $70 | $6.5K |
| 90480 | 1,407 | 1,570 | 130 | $40 | $5.9K |
| G0008 | 960 | 4,590 | 50 | $30 | $2.8K |
| 36415 | 13 | 4,180 | 90 | $10 | $2.7K |
| 93793 | 254 | 330 | 150 | $10 | $2.1K |
| 0124A | 436 | 710 | 30 | $40 | $1.8K |
Showing 1–10 of 18
Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.
View: By Year1 / 3
Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
13 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 99214 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the… | 3,680 | $70 | $239.3K |
| 99213 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the… | 2,000 | $40 | $87.9K |
| 90686 | This code represents a vaccine product administered into the muscle to protect against four strains of influenza (flu). It is preservative free, uses split virus technology, and is given as a 0.5 mL… | 420 | $20 | $7.9K |
| 81025 | The lab analyst performs the pregnancy test on a urine specimen using a methodology or kit that the analyst can read visually for a direct readout. | 770 | $1 | $2.3K |
| G2012 | Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an… | 110 | $10 | $1.5K |
| 99215 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the… | 20 | $80 | $1.3K |
| 93005 | The provider records the electrical conduction of the heart to examine any abnormality in its functioning, based on signals from at least 12 leads, wires that connect the recording device to… | 30 | $10 | $360 |
| 93793 | The provider reviews and interprets a new INR test result of a patient taking regular doses of warfarin after which he adjusts the dosage if needed, instructs the patient on continued treatment, and… | 80 | $1 | $310 |
| G0008 | Administration of influenza virus vaccine | 10 | $10 | $170 |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care… | 20 | $1 | $60 |
Showing 1–10 of 13
How this provider's Medicaid billing volume and revenue compare to other Illinois providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Illinois median
13 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 99214 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the… | 727 | 14,680 | 300 | $50 | $48.7K |
| 99213 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the… | 2,060 | 14,190 | 280 | $20 | $38.9K |
| 99215 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the… | 1,912 | 2,320 | 70 | $50 | $13.8K |
| 93005 | The provider records the electrical conduction of the heart to examine any abnormality in its functioning, based on signals from at least 12 leads, wires that connect the recording device to… | 151 | 200 | 150 | $10 | $4.3K |
| 90686 | This code represents a vaccine product administered into the muscle to protect against four strains of influenza (flu). It is preservative free, uses split virus technology, and is given as a 0.5 mL… | 678 | 2,640 | 110 | $10 | $3.7K |
| 36415 | In this procedure, the provider inserts a needle into a vein to collect a blood sample. | 20 | 1,510 | 110 | $1 | $3.5K |
| 93793 | The provider reviews and interprets a new INR test result of a patient taking regular doses of warfarin after which he adjusts the dosage if needed, instructs the patient on continued treatment, and… | 43 | 60 | 270 | $1 | $3.4K |
| 81025 | The lab analyst performs the pregnancy test on a urine specimen using a methodology or kit that the analyst can read visually for a direct readout. | 338 | 1,250 | 180 | $1 | $2.4K |
| G2012 | Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an… | 158 | 680 | 40 | $10 | $1.4K |
| 81002 | The lab analyst inserts a dip stick into a freshly collected urine specimen, removes the dip stick, and shakes off the excess urine. Alternatively, the analyst may place drops of the urine specimen… | 1,139 | 1,240 | 150 | $1 | $940 |
Showing 1–10 of 13
Other providers in the same ZIP code as Gustavo Galue, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Sandeep Thota | IL | Dentist | $0 | $5.5M |
| Sreenivasa Basavanthappa | IL | Retina Specialist (Ophthalmology) Physician | $3.2M | $14.2K |
| Adrienne Schupbach | IL | Dermatology Physician | $1.4M | $3K |
| Renuka Bhaskar | IL | Clinical Pathology/Laboratory Medicine Physician | $783.2K | $530.9K |
| Wynn Kao | IL | Dermatology Physician | $425K | $116.2K |
| Benjamin Taimoorazy | IL | Interventional Pain Medicine Physician | $105.4K | $193.7K |
| Chad Osborne | IL | Family Medicine Physician | $126.8K | $149.5K |
| Wilbert Leonard | IL | Podiatrist | $76.5K | $189.7K |
| The Center For Orthopedic Medicine, LLC | IL | Ambulatory Surgical Clinic/Center | $194.4K | $0 |
| Ireland Grove Center For Surgery LLC. | IL | Ambulatory Surgical Clinic/Center | $192.1K | $0 |
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