Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › MO › Hazelwood › NPI 1265413249
Physician

Galgani, John

Galgani, John was paid $389K by Medicaid between Jan 2018 and Apr 2020, across 25 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 43% of everything it billed.

33Billing provider infoGALGANI, JOHN
HAZELWOOD, MO 63042
33aNPI1265413249assigned 11/08/2005
28Total paid$389K
24GClaims6,017
24DCodes billed25
24AFirst – last monthJan 2018 – Apr 2020
Compared with peers

Next to other Pediatric Endocrinology Physician providers in Missouri

Rank by total paid#2 of 21
Median peer was paid$34K
This provider vs. median11×

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$10K$20K$30K2018201920202021202220232024
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
20183,385$228K
20192,085$128K
2020547$34K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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 43% 1,723 1,590 $166K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 12% 465 449 $46K
99215 Doctor's office visit, returning patient (complex)Prolong outpt/office vis 11% 327 316 $41K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 7.5% 292 290 $29K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 6.6% 231 229 $26K
92551 5.3% 811 785 $21K
90686 4.1% 660 659 $16K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 3.9% 287 284 $15K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 2.1% 85 83 $8K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 1.5% 358 348 $6K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 1.2% 274 134 $5K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 107 105 $4K
13 more codes
90670 <1% 70 $2K
90685 <1% 54 $1K
90734 <1% 51 $1K
92587 <1% 30 $1K
90651 <1% 64 $412.38
90700 <1% 14 $350.28
90716 <1% 13 $325.26
90707 <1% 13 $325.26
90715 <1% 12 $294.96
87807 <1% 14 $271.03
99173 <1% 20 $191.25
90620 <1% 27 $161.57
85018 <1% 15 $39.45

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.