Congdon, Gerald

Congdon, Gerald was paid $104K by Medicaid between Apr 2019 and Sep 2020, across 6 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 75% of everything it billed.

33Billing provider infoCONGDON, GERALD
PAWLEYS ISLAND, SC 29585

33aNPI1568446326assigned 12/05/2005

33bProvider typeFamily Medicine Physician

28Total paid$104K

24GClaims2,744

24DCodes billed6

24AFirst – last monthApr 2019 – Sep 2020

Compared with peers

Next to other Family Medicine Physician providers in South Carolina

Rank by total paid#197 of 696

Median peer was paid$14K

This provider vs. median7.2×

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
2019	2,186	$85K
2020	558	$19K

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	75%	1,035	578	$78K
80305		9.9%	1,084	506	$10K
90853	Group psychotherapy (other than of a multiple-family group)	9.8%	524	280	$10K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	2.2%	43	43	$2K
99215	Doctor's office visit, returning patient (complex)Prolong outpt/office vis	1.8%	18	18	$2K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	1.3%	40	34	$1K

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.