Physician
Mercadante, Gino
Mercadante, Gino was paid $56K by Medicaid between Jan 2018 and Apr 2024, across 1 billing code. Its largest line is 99213, doctor's office visit, returning patient (routine) — 100% of everything it billed.
33Billing provider infoMERCADANTE, GINO
LUDLOW, MA 01056
LUDLOW, MA 01056
33aNPI1477559706assigned 06/22/2005
33bProvider typeInternal Medicine Physician
28Total paid$56K
24GClaims889
24DCodes billed1
24AFirst – last monthJan 2018 – Apr 2024
Compared with peers
Next to other Internal Medicine Physician providers in Massachusetts
Rank by total paid#308 of 1,270
Median peer was paid$8K
This provider vs. median6.7×
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 | 145 | $9K | |
| 2019 | 96 | $6K | |
| 2020 | 154 | $10K | |
| 2021 | 186 | $12K | |
| 2022 | 159 | $10K | |
| 2023 | 101 | $6K | |
| 2024incomplete | 48 | $3K |
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 | 100% | 889 | 768 | $56K |
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.