Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Gallardo, Mary Rose

Gallardo, Mary Rose was paid $285K by Medicaid between Jan 2018 and Nov 2024, across 13 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 73% of everything it billed.

33Billing provider infoGALLARDO, MARY ROSE
BRICK, NJ 08724
33aNPI1255412391assigned 10/17/2006
28Total paid$285K
24GClaims8,491
24DCodes billed13
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers

Next to other Pediatric Adolescent Medicine Physician providers in New Jersey

Rank by total paid#25 of 56
Median peer was paid$178K
This provider vs. median1.6×

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

$0$5.0K$10K2018201920202021202220232024
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
YearClaimsPaid
20181,426$60K
20191,427$55K
20201,063$32K
2021890$33K
20221,256$39K
20231,434$38K
2024incomplete995$28K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 73% 4,987 4,153 $208K
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 9.4% 563 497 $27K
90460 Immunization administration through 18 years of age via any route, first or only component 6.9% 1,227 1,114 $20K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 2.6% 147 145 $7K
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) 2.4% 172 146 $7K
96110 Developmental screening, with scoring and documentation, per standardized instrument 1.7% 206 205 $5K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 1.4% 373 344 $4K
92551 1.4% 345 341 $4K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) <1% 38 38 $2K
90461 <1% 92 85 $835.00
90656 <1% 13 13 $188.04
99173 <1% 291 286 $166.54
1 more codes
90686 <1% 37 $102.19

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.