Gillum Facial Plastic Surgery, PC
Gillum Facial Plastic Surgery, PC was paid $576K by Medicaid between Jan 2018 and Dec 2024, across 16 billing codes. Its largest line is 31231, — 28% of everything it billed.
33Billing provider infoGILLUM FACIAL PLASTIC SURGERY, PC
MARION, IN 46952
MARION, IN 46952
33aNPI1063563617assigned 01/12/2007
33bProvider typeSpecialist
28Total paid$576K
24GClaims18,199
24DCodes billed16
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Specialist providers in Indiana
Rank by total paid#25 of 90
Median peer was paid$98K
This provider vs. median5.9×
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 | 1,727 | $13K | |
| 2019 | 2,681 | $103K | |
| 2020 | 2,299 | $86K | |
| 2021 | 2,661 | $87K | |
| 2022 | 3,309 | $116K | |
| 2023 | 3,394 | $114K | |
| 2024incomplete | 2,128 | $58K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 31231 | 28% | 1,837 | 1,536 | $162K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 21% | 3,813 | 3,190 | $123K |
| 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 | 10% | 925 | 740 | $60K |
| 95165 | Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials | 10% | 705 | 654 | $60K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 8.2% | 914 | 757 | $47K |
| 95115 | 6.4% | 7,662 | 2,602 | $37K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 5.8% | 1,367 | 1,123 | $33K |
| 31237 | 4.8% | 150 | 115 | $28K | |
| 70486 | 2.2% | 161 | 138 | $13K | |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 1.3% | 92 | 73 | $7K |
| 69210 | <1% | 311 | 243 | $4K | |
| 31579 | <1% | 17 | 12 | $2K |
4 more codes
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.
From NPPES
Who's on the registration
Authorized officialGILLUM, TIMOTHY (OWNER)