Physician
Gary A. Eberly, MD PC
Gary A. Eberly, MD PC was paid $5.52M by Medicaid between Jan 2018 and Dec 2024, across 59 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 34% of everything it billed.
33Billing provider infoGARY A. EBERLY, MD PC
FOLEY, AL 36535
FOLEY, AL 36535
33aNPI1346675196assigned 09/12/2013
33bProvider typePediatrics Physician
28Total paid$5.52M
24GClaims141,427
24DCodes billed59
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Alabama
Rank by total paid#29 of 199
Median peer was paid$702K
This provider vs. median7.9×
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 | 13,898 | $619K | |
| 2019 | 17,888 | $772K | |
| 2020 | 16,527 | $637K | |
| 2021 | 22,507 | $866K | |
| 2022 | 23,090 | $899K | |
| 2023 | 26,172 | $936K | |
| 2024incomplete | 21,345 | $794K |
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 | 34% | 22,713 | 20,856 | $1.89M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 29% | 30,056 | 27,258 | $1.62M |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 6.0% | 5,622 | 5,441 | $329K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 4.2% | 4,284 | 4,175 | $233K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 3.3% | 14,297 | 13,751 | $185K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 3.2% | 8,486 | 8,162 | $177K |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | 2.1% | 4,375 | 4,220 | $119K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 2.0% | 2,068 | 2,000 | $112K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 1.5% | 680 | 627 | $85K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 1.3% | 1,383 | 1,314 | $74K |
| 90686 | 1.3% | 3,789 | 3,677 | $71K | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 1.2% | 1,474 | 1,417 | $67K |
47 more codes
| 90723 | 1.0% | 3,057 | $58K | |
| 90670 | 1.0% | 3,007 | $57K | |
| 90647 | <1% | 2,761 | $51K | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 1,554 | $41K |
| 90680 | <1% | 1,694 | $32K | |
| 87807 | <1% | 2,859 | $30K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 1,608 | $28K |
| 90671 | <1% | 1,408 | $27K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 275 | $26K |
| 87428 | <1% | 522 | $26K | |
| 99173 | <1% | 7,532 | $25K | |
| 90461 | <1% | 456 | $21K | |
| 96127 | <1% | 6,311 | $20K | |
| 90633 | <1% | 1,031 | $19K | |
| G0312 | Immunization counseling by a physician or other qualified health care professional when the vaccine(s) is not administered on the same date of service for ages under 21, 5 to 15 mins time (this code is used for medicaid billing purposes) | <1% | 1,469 | $17K |
| G0315 | Immunization counseling by a physician or other qualified health care professional for covid-19, ages under 21, 5-15 mins time (this code is used for the medicaid early and periodic screening, diagnostic, and treatment benefit (epsdt) | <1% | 574 | $17K |
| 90651 | <1% | 457 | $10K | |
| 90656 | <1% | 453 | $9K | |
| 90734 | <1% | 297 | $6K | |
| 69210 | <1% | 243 | $6K | |
| 82272 | <1% | 1,295 | $4K | |
| 90715 | <1% | 160 | $3K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 96 | $3K |
| 90710 | <1% | 105 | $3K | |
| 36416 | <1% | 984 | $2K | |
| 83655 | <1% | 155 | $2K | |
| 92551 | <1% | 439 | $2K | |
| 90696 | <1% | 102 | $2K | |
| 90681 | <1% | 80 | $2K | |
| 90716 | <1% | 64 | $1K | |
| 90707 | <1% | 63 | $1K | |
| 0072A | <1% | 29 | $1K | |
| 90620 | <1% | 61 | $1K | |
| 0071A | <1% | 26 | $1K | |
| 99460 | <1% | 16 | $1K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 36 | $1K |
| 90380 | <1% | 48 | $910.34 | |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 12 | $830.04 |
| 90381 | <1% | 32 | $633.28 | |
| 81003 | <1% | 185 | $526.32 | |
| 90700 | <1% | 24 | $474.96 | |
| 90685 | <1% | 13 | $257.27 | |
| G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | <1% | 56 | $246.30 |
| G0313 | Immunization counseling by a physician or other qualified health care professional when the vaccine(s) is not administered on the same date of service for ages under 21, 16-30 mins time (this code is used for medicaid billing purposes) | <1% | 21 | $195.00 |
| G2212 | Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or qualified healthcare professional, with or without direct patient contact (list separately in addition to cpt codes 99205, 99215, 99483 for office or other outpatient evaluation and management services) (do not report g2212 on the same date of service as 99358, 99359, 99415, 99416). (do not report g2212 for any time unit less than 15 minutes) | <1% | 40 | $96.24 |
| 94760 | <1% | 477 | $63.29 | |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | 0% | 13 | $0.00 |
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 officialEBERLY, GARY (PHYSICIAN)