Physician
Gilmour, Carol
Gilmour, Carol was paid $39K by Medicaid between May 2021 and Oct 2023, across 2 billing codes. Its largest line is 99479, Subsequent intensive care, per day, very low birth weight infant — 89% of everything it billed.
33Billing provider infoGILMOUR, CAROL
PITTSBURGH, PA 15212
PITTSBURGH, PA 15212
33aNPI1427058635assigned 07/29/2005
33bProvider typeNeonatal-Perinatal Medicine Physician
28Total paid$39K
24GClaims236
24DCodes billed2
24AFirst – last monthMay 2021 – Oct 2023
Compared with peers
Next to other Neonatal-Perinatal Medicine Physician providers in Pennsylvania
Rank by total paid#16 of 33
Median peer was paid$34K
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 | |
|---|---|---|---|
| 2021 | 85 | $14K | |
| 2022 | 80 | $14K | |
| 2023 | 71 | $12K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99479 | Subsequent intensive care, per day, very low birth weight infant | 89% | 209 | 62 | $35K |
| 99480 | Subsequent intensive care, per day, low birth weight infant | 11% | 27 | 12 | $4K |
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.