NP / PA
Gibson-Borrelli, Albalira
Gibson-Borrelli, Albalira was paid $249K by Medicaid between Sep 2018 and Dec 2024, across 18 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 57% of everything it billed.
33Billing provider infoGIBSON-BORRELLI, ALBALIRA
MIDDLETOWN, NY 10941
MIDDLETOWN, NY 10941
33aNPI1922591684assigned 06/07/2018
33bProvider typeFamily Nurse Practitioner
28Total paid$249K
24GClaims7,314
24DCodes billed18
24AFirst – last monthSep 2018 – Dec 2024
Compared with peers
Next to other Family Nurse Practitioner providers in New York
Rank by total paid#42 of 1,582
Median peer was paid$2K
This provider vs. median108×
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 | 28 | $826.54 | |
| 2019 | 469 | $13K | |
| 2020 | 887 | $30K | |
| 2021 | 1,170 | $39K | |
| 2022 | 1,604 | $49K | |
| 2023 | 1,814 | $64K | |
| 2024incomplete | 1,342 | $53K |
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 | 57% | 2,642 | 2,266 | $143K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 33% | 2,301 | 1,977 | $81K |
| 93000 | 2.1% | 556 | 545 | $5K | |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 2.0% | 113 | 111 | $5K |
| 99490 | Ccm add 20min | 1.7% | 329 | 325 | $4K |
| 99487 | Ccm add 20min | 1.0% | 65 | 65 | $3K |
| 99401 | <1% | 285 | 262 | $2K | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 30 | 30 | $2K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 70 | 69 | $1K |
| 99442 | <1% | 24 | 23 | $1K | |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | <1% | 45 | 44 | $1K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 19 | 16 | $282.07 |
6 more codes
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.