Gorlowski, John

Gorlowski, John was paid $76K by Medicaid between Nov 2018 and Dec 2024, across 23 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 36% of everything it billed.

33Billing provider infoGORLOWSKI, JOHN
ST MARYS, PA 15857

33aNPI1740274729assigned 09/07/2005

33bProvider typePediatric Adolescent Medicine Physician

28Total paid$76K

24GClaims2,753

24DCodes billed23

24AFirst – last monthNov 2018 – Dec 2024

Compared with peers

Next to other Pediatric Adolescent Medicine Physician providers in Pennsylvania

Rank by total paid#21 of 44

Median peer was paid$39K

This provider vs. median1.9×

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
2018	13	$375.30
2020	131	$1K
2021	760	$19K
2022	644	$17K
2023	750	$22K
2024incomplete	455	$16K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	36%	856	800	$27K
99392	Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years)	29%	412	402	$22K
99391	Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year)	17%	188	182	$13K
99393	Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years)	9.0%	187	187	$7K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	3.6%	108	105	$3K
90686		<1%	232	179	$726.37
90698		<1%	80	64	$704.00
99394	Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years)	<1%	12	12	$655.50
90670		<1%	122	102	$506.00
90460	Immunization administration through 18 years of age via any route, first or only component	<1%	13	13	$375.30
G0008	Administration of influenza virus vaccine	<1%	28	28	$308.00
90680		<1%	60	49	$275.00

11 more codes

G0444	Annual depression screening, 5 to 15 minutes	<1%	12	$156.06
96161		<1%	39	$134.05
85018		<1%	71	$128.78
87880	Infectious agent antigen detection by immunoassay; Streptococcus, group A	<1%	16	$121.45
99173		<1%	145	$61.20
92551		<1%	72	$42.01
96127		<1%	12	$16.50
96110	Developmental screening, with scoring and documentation, per standardized instrument	<1%	24	$15.38
96160		<1%	14	$14.37
90697		0%	24	$0.00
90671		0%	26	$0.00

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.