Gilmour, Sarah

Gilmour, Sarah was paid $4K by Medicaid between Jan 2021 and Apr 2022, across 2 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 83% of everything it billed.

33Billing provider infoGILMOUR, SARAH
GIBSONIA, PA 15044

33aNPI1275573396assigned 06/07/2006

33bProvider typeFamily Medicine Physician

28Total paid$4K

24GClaims95

24DCodes billed2

24AFirst – last monthJan 2021 – Apr 2022

Compared with peers

Next to other Family Medicine Physician providers in Pennsylvania

Rank by total paid#2,049 of 2,756

Median peer was paid$19K

This provider vs. median0.2×

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
2021	82	$3K
2022	13	$525.79

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	83%	82	80	$3K
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	17%	13	13	$598.60

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.