Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › MA › Lowell › NPI 1679536379
Physician

Gealow, Mary

Gealow, Mary was paid $1.63M by Medicaid between Jan 2018 and Mar 2023, across 36 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 25% of everything it billed.

33Billing provider infoGEALOW, MARY
LOWELL, MA 01852
33aNPI1679536379assigned 04/11/2006
33bProvider typePediatrics Physician
28Total paid$1.63M
24GClaims42,947
24DCodes billed36
24AFirst – last monthJan 2018 – Mar 2023
Compared with peers

Next to other Pediatrics Physician providers in Massachusetts

Rank by total paid#39 of 1,273
Median peer was paid$24K
This provider vs. median68×

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$20K$40K$60K2018201920202021202220232024
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
20187,703$300K
20198,692$307K
20206,914$247K
20217,778$291K
202210,007$406K
20231,853$78K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 25% 7,058 6,800 $406K
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 19% 3,273 3,164 $302K
90460 Immunization administration through 18 years of age via any route, first or only component 9.2% 3,672 3,657 $151K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 6.7% 1,365 1,365 $110K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 5.6% 1,040 1,040 $91K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 5.1% 1,010 1,010 $83K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 4.7% 1,498 1,475 $77K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 3.2% 646 637 $53K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 3.1% 668 662 $51K
S0302 Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) 2.4% 4,394 4,391 $40K
90461 2.4% 1,029 1,028 $38K
92558 1.9% 1,277 1,276 $31K
24 more codes
96110 Developmental screening, with scoring and documentation, per standardized instrument 1.7% 2,622 $27K
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 1.5% 1,038 $25K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 1.5% 765 $24K
96127 1.3% 2,009 $21K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 1.1% 1,361 $18K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type <1% 1,027 $13K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity <1% 598 $10K
99173 <1% 599 $9K
99215 Doctor's office visit, returning patient (complex) <1% 89 $9K
99177 <1% 544 $7K
87081 <1% 1,013 $7K
83655 <1% 598 $7K
85025 Blood count; complete (CBC), automated, and automated differential WBC count <1% 887 $7K
94760 <1% 2,210 $5K
36416 <1% 391 $4K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 41 $2K
87634 <1% 15 $928.80
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe <1% 24 $705.38
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe <1% 24 $705.38
0072A <1% 12 $550.56
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction <1% 30 $457.80
92587 <1% 12 $202.68
81003 <1% 80 $169.50
J7611 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, concentrated form, 1 mg <1% 28 $7.50

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.