Ancheta, Gerald

Ancheta, Gerald was paid $260K by Medicaid between Feb 2018 and Nov 2024, across 5 billing codes. Its largest line is 99233, hospital visit by a doctor, follow-up day (complex) — 85% of everything it billed.

33Billing provider infoANCHETA, GERALD
NYACK, NY 10960

33aNPI1023273380assigned 07/25/2008

33bProvider typeInternal Medicine Physician

28Total paid$260K

24GClaims14,215

24DCodes billed5

24AFirst – last monthFeb 2018 – Nov 2024

Compared with peers

Next to other Internal Medicine Physician providers in New York

Rank by total paid#730 of 6,049

Median peer was paid$11K

This provider vs. median23×

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	327	$2K
2019	1,029	$15K
2020	2,986	$54K
2021	2,873	$60K
2022	2,562	$42K
2023	2,476	$42K
2024incomplete	1,962	$45K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99233	Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m	85%	5,373	1,589	$222K
99232	Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity	13%	7,501	2,371	$34K
99223	Prolong inpt eval add15 m	1.3%	48	41	$3K
99231	Subsequent hospital care, per day, straightforward or low complexity	<1%	280	96	$818.80
99222	Initial hospital care, per day, moderate complexity	<1%	1,013	986	$553.05

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.