Nealon, Gerard

Nealon, Gerard was paid $15K by Medicaid between Nov 2018 and Jul 2023, across 6 billing codes. Its largest line is 99285, emergency room visit (most serious) — 37% of everything it billed.

33Billing provider infoNEALON, GERARD
SCRANTON, PA 18504

33aNPI1811929458assigned 07/06/2006

33bProvider typeInternal Medicine Physician

28Total paid$15K

24GClaims511

24DCodes billed6

24AFirst – last monthNov 2018 – Jul 2023

Compared with peers

Next to other Internal Medicine Physician providers in Pennsylvania

Rank by total paid#633 of 1,726

Median peer was paid$6K

This provider vs. median2.3×

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
2018	12	$0.00
2019	25	$0.00
2020	177	$7K
2021	142	$7K
2023	155	$2K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99285	Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life	37%	115	112	$5K
99283	Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity	27%	111	110	$4K
99284	Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity	25%	77	77	$4K
99232	Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity	11%	155	12	$2K
93010	Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only	<1%	16	15	$81.39
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	0%	37	37	$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.