Internal Medicine · Elizabeth, NJ
NPI
1801878269
Since 2005
Specialty
Internal Medicine
Code 207R00000X
Group practices
2
Medicare group memberships
Hospitals
2
Hospital affiliations
624 Newark Ave
Elizabeth, NJ, 07208
Phone (908) 353-3626
Groups this clinician bills Medicare through
Medicare paid, 2024
$79K
832 services
Medicare patients, 2024
129
Average age 74
Drug cost, 2024
$4.3M
37,947 prescriptions
Company payments, 2025
$702
From 15 companies
Procedures and visits billed to Original Medicare, 2024
In 2024, the most common Medicare service billed by Luis M Benalcazar was code 99214 (office e&m - established), 237 times for 86 patients. In total Luis M Benalcazar billed 832 services in 40 codes, and Medicare paid $79K.
| Code |
|---|
Official US government data: the national provider registry and Medicare enrollment records, linked by NPI. Last update of this record: 2025-02-18.
| Setting |
|---|
| Services |
|---|
| Patients |
|---|
| Paid per service |
|---|
| Medicare paid |
|---|
| 99214 Office E&M - Established | Office | 237 | 86 | $100.45 | $24K |
| 99213 Office E&M - Established | Office | 112 | 54 | $57.78 | $6,471 |
| 99490 Chronic, Principal, and Transitional Care Management | Office | 59 | 37 | $49.76 | $2,936 |
| G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | Office | 58 | 58 | $141.49 | $8,207 |
| 93925 Duplex Scan - Extremity Arteries | Office | 36 | 36 | $208.22 | $7,496 |
| 99212 Office E&M - Established | Office | 34 | 19 | $34.95 | $1,188 |
| 93306 Echocardiography (TTE/TEE) | Office | 29 | 29 | $154.76 | $4,488 |
| 93000 Electrocardiogram | Office | 29 | 26 | $11.87 | $344 |
| 93978 Duplex Scan - Extremity Arteries | Office | 26 | 26 | $152.96 | $3,977 |
| 93970 Duplex Scan - Extremity Veins | Office | 24 | 24 | $168.19 | $4,037 |
| 76705 Ultrasound - Abdomen and Pelvis | Office | 19 | 19 | $77.76 | $1,477 |
| 96372 Injection Administration | Office | 17 | 11 | $12.63 | $215 |
| 93880 Duplex Scan - Extracranial Arteries | Office | 15 | 15 | $170.79 | $2,562 |
| 93976 Duplex Scan - Extremity Arteries | Office | 14 | 14 | $129.00 | $1,806 |
| 76536 Ultrasound - Nonspecific | Office | 13 | 12 | $95.19 | $1,237 |
By year: 2022 $104K for 1,174 services; 2023 $88K for 907 services; 2024 $79K for 832 services.
Medicare prescription drug claims, 2024
In 2024, the drug Luis M Benalcazar prescribed most often to Medicare patients was Gabapentin, with 1,444 prescriptions and refills. In total Luis M Benalcazar wrote 37,947 Medicare prescriptions that cost $4.3M.
| Drug | Claims | 30-day fills | Patients | Cost |
|---|---|---|---|---|
| Gabapentin Generic | 1,444 | 2,568 | 359 | $16K |
| Atorvastatin Calcium Generic | 1,424 | 3,687 | 502 | $16K |
| Famotidine Generic | 1,151 | 2,283 | 352 | $15K |
| Rosuvastatin Calcium Generic | 1,070 | 2,777 | 360 | $15K |
| Metoprolol Succinate Generic | 893 | 2,161 | 300 | $13K |
| Levothyroxine Sodium Generic | 859 | 1,815 | 237 | $9,110 |
| Amlodipine Besylate Generic | 802 | 2,040 | 278 | $4,801 |
| Losartan Potassium Generic | 742 | 1,909 | 271 | $9,429 |
| Albuterol Sulfate Hfa Albuterol Sulfate | 691 | 833 | 189 | $26K |
| Omeprazole Generic | 685 | 1,408 | 233 | $9,551 |
| Metformin Hcl Er Metformin Hcl | 680 | 1,632 | 248 | $7,514 |
| Tamsulosin Hcl Generic | 616 | 1,272 | 187 | $6,414 |
| Alprazolam Generic | 547 | 560 | 102 | $3,047 |
| Lisinopril Generic | 499 | 1,337 | 167 | $3,005 |
| Diclofenac Sodium Generic | 490 | 577 | 161 | $26K |
Brand drugs: 5,848 claims; generic drugs: 31,552 claims; opioid claims: 1,095.
Money and other things of value reported by the companies
In 2025, drug and medical device companies paid Luis M Benalcazar $702 ($702 in general payments such as food, travel and fees) from 15 companies. The largest payer was AstraZeneca Pharmaceuticals LP with $206.
| Company | Payments | Amount |
|---|---|---|
| AstraZeneca Pharmaceuticals LP AZN | 12 | $206 |
| Boehringer Ingelheim Pharmaceuticals, Inc. | 7 | $139 |
| Abbott Laboratories ABT | 4 | $57 |
| Salix Pharmaceuticals, a division of Bausch Health US, LLC BHC | 3 | $54.27 |
| Aimmune Therapeutics, Inc. | 2 | $36.46 |
| Amgen Inc. AMGN | 2 | $30.81 |
| Novo Nordisk Inc NVO | 2 | $28.94 |
| Dexcom, Inc. DXCM | 1 | $27.88 |
| Lilly USA, LLC LLY | 1 | $21.91 |
| Otsuka America Pharmaceutical, Inc. 4578.T | 1 | $20.91 |
Official US government data on Original Medicare services, Medicare prescription drug plans and the payments drug and device companies must report. Services with fewer than 11 patients and drugs with fewer than 11 claims are not published. Procedure codes are shown by number with their public category.