Concilio, Gerardo

Concilio, Gerardo was paid $9K by Medicaid between Jan 2018 and Oct 2021, across 2 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 87% of everything it billed.

33Billing provider infoCONCILIO, GERARDO
LINCOLN, RI 02865

33aNPI1174585723assigned 04/06/2006

33bProvider typePediatrics Physician

28Total paid$9K

24GClaims189

24DCodes billed2

24AFirst – last monthJan 2018 – Oct 2021

Compared with peers

Next to other Pediatrics Physician providers in Rhode Island

Rank by total paid#242 of 265

Median peer was paid$133K

This provider vs. median0.1×

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	58	$2K
2019	69	$4K
2020	13	$156.00
2021	49	$2K

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	87%	112	89	$8K
90460	Immunization administration through 18 years of age via any route, first or only component	13%	77	75	$1K

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.