Physician
Giancola, Sergio
Giancola, Sergio was paid $33K by Medicaid between Nov 2020 and Nov 2024, across 5 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 72% of everything it billed.
33Billing provider infoGIANCOLA, SERGIO
FRANKLIN, PA 16323
FRANKLIN, PA 16323
33aNPI1386780765assigned 01/30/2007
33bProvider typeUrology Physician
28Total paid$33K
24GClaims1,051
24DCodes billed5
24AFirst – last monthNov 2020 – Nov 2024
Compared with peers
Next to other Urology Physician providers in Pennsylvania
Rank by total paid#28 of 134
Median peer was paid$3K
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
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 | |
|---|---|---|---|
| 2020 | 34 | $1K | |
| 2021 | 336 | $10K | |
| 2022 | 183 | $8K | |
| 2023 | 113 | $5K | |
| 2024incomplete | 385 | $9K |
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 | 72% | 576 | 564 | $24K |
| 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 | 12% | 60 | 60 | $4K |
| 99244 | Office or other outpatient consultation, moderate to high complexity | 9.2% | 24 | 24 | $3K |
| 51798 | 5.7% | 250 | 244 | $2K | |
| 81002 | 1.2% | 141 | 140 | $386.62 |
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.