Physician
Harold a Gillespie II
Harold a Gillespie II was paid $61K by Medicaid between Jan 2021 and Dec 2023, across 9 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 68% of everything it billed.
33Billing provider infoHAROLD A GILLESPIE II
SOMERSET, OH 43783
SOMERSET, OH 43783
33aNPI1801086152assigned 08/01/2007
33bProvider typeFamily Medicine Physician
28Total paid$61K
24GClaims2,946
24DCodes billed9
24AFirst – last monthJan 2021 – Dec 2023
Compared with peers
Next to other Family Medicine Physician providers in Ohio
Rank by total paid#290 of 739
Median peer was paid$30K
This provider vs. median2.1×
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 | |
|---|---|---|---|
| 2021 | 893 | $12K | |
| 2022 | 885 | $21K | |
| 2023 | 1,168 | $28K |
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 | 68% | 919 | 809 | $41K |
| 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% | 412 | 373 | $15K |
| 99308 | Subsequent nursing facility care, per day, straightforward | 4.4% | 679 | 465 | $3K |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | 2.1% | 48 | 46 | $1K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 12 | 12 | $243.84 |
| G8422 | Bmi not documented, documentation the patient is not eligible for bmi calculation | 0% | 29 | 28 | $0.00 |
| G8783 | Normal blood pressure reading documented, follow-up not required | 0% | 236 | 218 | $0.00 |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 192 | 174 | $0.00 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 419 | 386 | $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.
From NPPES
Who's on the registration
Authorized officialGILLESPIE, HAROLD (FAMILY PRACTICE)