Champaloux, Gerard

Champaloux, Gerard was paid $55K by Medicaid between Jan 2018 and Oct 2019, across 3 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 98% of everything it billed.

33Billing provider infoCHAMPALOUX, GERARD
BOWIE, MD 20715

33aNPI1205938305assigned 09/01/2006

33bProvider typeFamily Medicine Physician

28Total paid$55K

24GClaims825

24DCodes billed3

24AFirst – last monthJan 2018 – Oct 2019

Compared with peers

Next to other Family Medicine Physician providers in Maryland

Rank by total paid#156 of 287

Median peer was paid$78K

This provider vs. median0.7×

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
2018	442	$29K
2019	383	$27K

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	98%	791	491	$54K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	1.3%	15	15	$744.34
90656		<1%	19	13	$365.75

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.