Raffaele Gibilisco,md,pa
Raffaele Gibilisco,md,pa was paid $67K by Medicaid between Jan 2018 and Dec 2020, across 6 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 38% of everything it billed.
33Billing provider infoRAFFAELE GIBILISCO,MD,PA
WEST NEW YORK, NJ 07093
WEST NEW YORK, NJ 07093
33aNPI1285906552assigned 02/02/2012
33bProvider typeSpecialist
28Total paid$67K
24GClaims2,072
24DCodes billed6
24AFirst – last monthJan 2018 – Dec 2020
Compared with peers
Next to other Specialist providers in New Jersey
Rank by total paid#186 of 378
Median peer was paid$63K
This provider vs. median1.1×
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 | 755 | $23K | |
| 2019 | 816 | $29K | |
| 2020 | 501 | $15K |
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 | 38% | 1,300 | 1,246 | $26K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 27% | 367 | 367 | $18K |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | 22% | 217 | 217 | $15K |
| 45380 | Colonoscopy, flexible; with biopsy, single or multiple | 6.8% | 57 | 57 | $5K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 6.1% | 119 | 118 | $4K |
| 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% | 12 | 12 | $208.05 |
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.
From NPPES
Who's on the registration
Authorized officialGIBILISCO, RAFFAELE (PRESIDENT)