Physician
Gergely Pediatrics PC
Gergely Pediatrics PC was paid $462K by Medicaid between Jan 2018 and Jan 2024, across 20 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 46% of everything it billed.
33Billing provider infoGERGELY PEDIATRICS PC
GARRISON, NY 10524
GARRISON, NY 10524
33aNPI1154405652assigned 10/24/2006
33bProvider typePediatrics Physician
28Total paid$462K
24GClaims11,218
24DCodes billed20
24AFirst – last monthJan 2018 – Jan 2024
Compared with peers
Next to other Pediatrics Physician providers in New York
Rank by total paid#433 of 1,983
Median peer was paid$17K
This provider vs. median27×
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 | 573 | $25K | |
| 2019 | 1,325 | $39K | |
| 2020 | 2,453 | $75K | |
| 2021 | 2,838 | $126K | |
| 2022 | 2,257 | $122K | |
| 2023 | 1,652 | $71K | |
| 2024incomplete | 120 | $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 | 46% | 2,644 | 2,233 | $211K |
| 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 | 33% | 1,314 | 1,189 | $155K |
| 87636 | Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B | 10% | 337 | 316 | $48K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 2.2% | 1,064 | 1,051 | $10K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 2.2% | 246 | 239 | $10K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 1.6% | 65 | 65 | $7K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 1.2% | 56 | 56 | $6K |
| 92551 | <1% | 790 | 790 | $4K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 163 | 77 | $2K |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | <1% | 98 | 96 | $2K |
| 81002 | <1% | 1,010 | 999 | $2K | |
| 0240U | <1% | 12 | 12 | $2K |
8 more codes
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 15 | $2K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 204 | $769.04 |
| 90686 | <1% | 332 | $229.31 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 40 | $142.40 |
| 36415 | Collection of venous blood by venipuncture | <1% | 156 | $74.37 |
| 99173 | 0% | 822 | $0.00 | |
| 90461 | 0% | 14 | $0.00 | |
| 99000 | 0% | 1,836 | $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.
From NPPES
Who's on the registration
Authorized officialGERGELY, ANN (BUSINESS MGR SECRETARY OF CORP)