Gantalao, Edgar

Gantalao, Edgar was paid $277K by Medicaid between Sep 2020 and Dec 2024, across 2 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 91% of everything it billed.

33Billing provider infoGANTALAO, EDGAR
DU BOIS, PA 15801

33aNPI1649200411assigned 07/04/2006

33bProvider typePsychiatry Physician

28Total paid$277K

24GClaims3,286

24DCodes billed2

24AFirst – last monthSep 2020 – Dec 2024

Compared with peers

Next to other Psychiatry Physician providers in Pennsylvania

Rank by total paid#53 of 244

Median peer was paid$30K

This provider vs. median9.3×

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	320	$22K
2021	860	$62K
2022	734	$60K
2023	779	$76K
2024incomplete	593	$57K

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	91%	2,863	2,740	$252K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	9.0%	423	411	$25K

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.