Physician
Garrick Drago, Monica
Garrick Drago, Monica was paid $1.01M by Medicaid between Nov 2020 and May 2023, across 7 billing codes. Its largest line is G9012, Other specified case management service not elsewhere classified — 72% of everything it billed.
33Billing provider infoGARRICK DRAGO, MONICA
SEVEN FIELDS, PA 16046
SEVEN FIELDS, PA 16046
33aNPI1720152978assigned 11/20/2006
33bProvider typeDevelopmental - Behavioral Pediatrics Physician
28Total paid$1.01M
24GClaims8,107
24DCodes billed7
24AFirst – last monthNov 2020 – May 2023
Compared with peers
Next to other Developmental - Behavioral Pediatrics Physician providers in Pennsylvania
Rank by total paid#2 of 6
Median peer was paid$87K
This provider vs. median12×
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 | 739 | $58K | |
| 2021 | 4,205 | $541K | |
| 2022 | 2,146 | $278K | |
| 2023 | 1,017 | $131K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| G9012 | Other specified case management service not elsewhere classified | 72% | 2,647 | 2,647 | $725K |
| G0396 | Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and brief intervention 15 to 30 minutes | 9.1% | 2,157 | 1,732 | $92K |
| G9008 | Coordinated care fee, physician coordinated care oversight services | 7.0% | 416 | 416 | $71K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 6.4% | 1,718 | 1,418 | $65K |
| 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 | 5.4% | 1,110 | 940 | $55K |
| 80305 | <1% | 39 | 38 | $479.31 | |
| 96127 | <1% | 20 | 20 | $158.40 |
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.