Gardner, Mark

Gardner, Mark was paid $32K by Medicaid between Oct 2020 and Dec 2024, across 5 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 66% of everything it billed.

33Billing provider infoGARDNER, MARK
HERMITAGE, PA 16148

33aNPI1467766022assigned 08/05/2010

33bProvider typeOrthopaedic Surgery Physician

28Total paid$32K

24GClaims1,007

24DCodes billed5

24AFirst – last monthOct 2020 – Dec 2024

Compared with peers

Next to other Orthopaedic Surgery Physician providers in Pennsylvania

Rank by total paid#68 of 291

Median peer was paid$7K

This provider vs. median4.4×

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	15	$549.81
2021	90	$4K
2022	322	$11K
2023	255	$9K
2024incomplete	325	$9K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	66%	674	649	$22K
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	16%	100	100	$5K
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	14%	59	59	$4K
20610		4.3%	66	56	$1K
J3301	Injection, triamcinolone acetonide, not otherwise specified, 10 mg	0%	108	108	$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.