Margiotti, Gerard

Margiotti, Gerard was paid $58K by Medicaid between Jan 2018 and Apr 2023, across 11 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 51% of everything it billed.

33Billing provider infoMARGIOTTI, GERARD
TREVOSE, PA 19053

33aNPI1124096243assigned 03/14/2006

33bProvider typePediatrics Physician

28Total paid$58K

24GClaims2,114

24DCodes billed11

24AFirst – last monthJan 2018 – Apr 2023

Compared with peers

Next to other Pediatrics Physician providers in Pennsylvania

Rank by total paid#575 of 1,257

Median peer was paid$45K

This provider vs. median1.3×

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	122	$6K
2019	31	$1K
2020	34	$778.69
2021	1,491	$38K
2022	349	$9K
2023	87	$4K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	51%	592	540	$30K
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	39%	313	285	$23K
99392	Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years)	2.5%	16	16	$1K
99393	Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years)	2.4%	17	17	$1K
99391	Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year)	2.3%	17	16	$1K
90460	Immunization administration through 18 years of age via any route, first or only component	1.6%	246	175	$902.90
87635	Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe	<1%	13	13	$425.88
99072		<1%	850	718	$19.71
90461		<1%	24	15	$13.70
83655		0%	14	14	$0.00
99000		0%	12	12	$0.00

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.