Physician
Gallardo, Guillermo
Gallardo, Guillermo was paid $158K by Medicaid between Nov 2020 and Jan 2024, across 19 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 49% of everything it billed.
33Billing provider infoGALLARDO, GUILLERMO
BRONX, NY 10453
BRONX, NY 10453
33aNPI1134342439assigned 04/11/2007
33bProvider typeOphthalmology Physician
28Total paid$158K
24GClaims5,350
24DCodes billed19
24AFirst – last monthNov 2020 – Jan 2024
Compared with peers
Next to other Ophthalmology Physician providers in New York
Rank by total paid#324 of 1,085
Median peer was paid$34K
This provider vs. median4.7×
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 | |
|---|---|---|---|
| 2020 | 240 | $7K | |
| 2021 | 2,938 | $88K | |
| 2022 | 1,861 | $61K | |
| 2023 | 281 | $0.00 | |
| 2024incomplete | 30 | $937.42 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 49% | 1,001 | 997 | $77K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 9.7% | 236 | 236 | $15K |
| 92015 | Determination of refractive state | 8.5% | 1,220 | 1,216 | $13K |
| 92250 | 7.7% | 496 | 495 | $12K | |
| 92020 | 6.4% | 699 | 698 | $10K | |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 5.0% | 152 | 152 | $8K |
| 92025 | 2.6% | 220 | 218 | $4K | |
| 92083 | 2.4% | 103 | 103 | $4K | |
| 68761 | 2.1% | 38 | 19 | $3K | |
| 92002 | 1.6% | 60 | 59 | $3K | |
| 68040 | 1.4% | 62 | 31 | $2K | |
| 76512 | <1% | 38 | 19 | $2K |
7 more codes
| 99072 | <1% | 567 | $1K | |
| 92201 | <1% | 74 | $1K | |
| 67820 | <1% | 54 | $858.06 | |
| 99213 | Doctor's office visit, returning patient (routine) | <1% | 16 | $755.88 |
| 92285 | <1% | 19 | $263.53 | |
| 99214 | Doctor's office visit, returning patient (more involved) | <1% | 14 | $181.54 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 0% | 281 | $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.