Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › MA › Wilbraham › NPI 1568458479
Physician

Nielan, Gary

Nielan, Gary was paid $119K by Medicaid between Mar 2018 and Mar 2023, across 14 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 32% of everything it billed.

33Billing provider infoNIELAN, GARY
WILBRAHAM, MA 01095
33aNPI1568458479assigned 09/26/2005
28Total paid$119K
24GClaims3,633
24DCodes billed14
24AFirst – last monthMar 2018 – Mar 2023
Compared with peers

Next to other Pediatric Adolescent Medicine Physician providers in Massachusetts

Rank by total paid#28 of 54
Median peer was paid$119K
This provider vs. median1.0×

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

$0$5.0K$10K2018201920202021202220232024
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
YearClaimsPaid
2018330$10K
2019655$26K
2020520$18K
2021724$26K
20221,110$30K
2023294$9K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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 32% 435 410 $38K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 31% 691 683 $37K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 8.6% 201 200 $10K
96127 5.8% 506 449 $7K
90460 Immunization administration through 18 years of age via any route, first or only component 5.7% 227 227 $7K
S0302 Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) 3.5% 467 467 $4K
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 3.5% 180 179 $4K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 2.9% 41 41 $3K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 2.6% 150 150 $3K
96110 Developmental screening, with scoring and documentation, per standardized instrument 2.3% 175 169 $3K
94760 <1% 521 505 $1K
0071A <1% 12 12 $550.56
2 more codes
99173 <1% 13 $288.86
96160 <1% 14 $57.90

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.