Garofalo, Raffaele

Garofalo, Raffaele was paid $18K by Medicaid between Jul 2018 and Oct 2024, across 4 billing codes. Its largest line is 99309, Subsequent nursing facility care, per day, low to moderate complexity — 73% of everything it billed.

33Billing provider infoGAROFALO, RAFFAELE
WHITE PLAINS, NY 10601

33aNPI1528068434assigned 07/21/2005

33bProvider typeInternal Medicine Physician

28Total paid$18K

24GClaims2,224

24DCodes billed4

24AFirst – last monthJul 2018 – Oct 2024

Compared with peers

Next to other Internal Medicine Physician providers in New York

Rank by total paid#2,590 of 6,049

Median peer was paid$11K

This provider vs. median1.6×

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	299	$3K
2019	972	$11K
2020	23	$63.84
2021	138	$787.40
2022	329	$242.34
2023	303	$2K
2024incomplete	160	$850.95

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99309	Subsequent nursing facility care, per day, low to moderate complexity	73%	1,608	907	$13K
99308	Subsequent nursing facility care, per day, straightforward	24%	559	299	$4K
99497		2.2%	16	15	$400.80
G8483	Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons)	0%	41	40	$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.