Physician
Galbreath, John
Galbreath, John was paid $531K by Medicaid between Jan 2018 and May 2022, across 30 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 26% of everything it billed.
33Billing provider infoGALBREATH, JOHN
PEORIA, IL 61603
PEORIA, IL 61603
33aNPI1285724583assigned 10/15/2006
33bProvider typePediatrics Physician
28Total paid$531K
24GClaims13,436
24DCodes billed30
24AFirst – last monthJan 2018 – May 2022
Compared with peers
Next to other Pediatrics Physician providers in Illinois
Rank by total paid#283 of 1,805
Median peer was paid$55K
This provider vs. median9.6×
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
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 | 6,126 | $233K | |
| 2019 | 4,367 | $173K | |
| 2020 | 1,411 | $54K | |
| 2021 | 1,165 | $53K | |
| 2022 | 367 | $19K |
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 | 26% | 1,962 | 1,608 | $138K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 20% | 2,403 | 2,051 | $108K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 18% | 1,265 | 1,013 | $98K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 13% | 998 | 858 | $69K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 7.8% | 552 | 491 | $42K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 3.8% | 237 | 214 | $20K |
| 90686 | 1.3% | 943 | 826 | $7K | |
| 90670 | 1.2% | 777 | 695 | $6K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 1.1% | 354 | 194 | $6K |
| 90648 | 1.0% | 803 | 683 | $5K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 338 | 274 | $5K |
| 90723 | <1% | 529 | 447 | $4K |
18 more codes
| 83655 | <1% | 328 | $4K | |
| 90633 | <1% | 464 | $3K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 134 | $3K |
| 90680 | <1% | 397 | $3K | |
| 90651 | <1% | 111 | $2K | |
| 90734 | <1% | 103 | $1K | |
| 87428 | <1% | 17 | $1K | |
| 85018 | <1% | 376 | $870.93 | |
| 0071A | <1% | 16 | $640.00 | |
| 90710 | <1% | 61 | $594.76 | |
| 90700 | <1% | 77 | $578.15 | |
| 90715 | <1% | 69 | $573.13 | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 15 | $529.95 |
| 90716 | <1% | 35 | $224.00 | |
| 90696 | <1% | 29 | $186.12 | |
| 90707 | <1% | 17 | $108.80 | |
| 88720 | <1% | 13 | $52.80 | |
| 81002 | <1% | 13 | $34.05 |
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.