Physician
Halberstadt, Gary
Halberstadt, Gary was paid $117K by Medicaid between Jan 2018 and Oct 2024, across 12 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 35% of everything it billed.
33Billing provider infoHALBERSTADT, GARY
INDIANAPOLIS, IN 46260
INDIANAPOLIS, IN 46260
33aNPI1164409322assigned 12/29/2005
33bProvider typePediatrics Physician
28Total paid$117K
24GClaims3,167
24DCodes billed12
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers
Next to other Pediatrics Physician providers in Indiana
Rank by total paid#72 of 119
Median peer was paid$395K
This provider vs. median0.3×
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 | 1,175 | $36K | |
| 2019 | 462 | $18K | |
| 2020 | 277 | $11K | |
| 2021 | 334 | $14K | |
| 2022 | 383 | $14K | |
| 2023 | 310 | $13K | |
| 2024incomplete | 226 | $11K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 35% | 546 | 459 | $41K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 31% | 381 | 342 | $36K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 9.9% | 230 | 193 | $12K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 9.8% | 140 | 133 | $11K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 8.9% | 133 | 125 | $10K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 4.1% | 56 | 55 | $5K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 117 | 115 | $833.61 |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 73 | 72 | $776.00 |
| 99173 | <1% | 1,153 | 1,057 | $409.05 | |
| 92551 | <1% | 306 | 284 | $283.15 | |
| 90686 | 0% | 18 | 18 | $0.00 | |
| 90685 | 0% | 14 | 13 | $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.