Garofolo, Edward
Garofolo, Edward was paid $113K by Medicaid between Feb 2018 and Dec 2024, across 3 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 68% of everything it billed.
33Billing provider infoGAROFOLO, EDWARD
MURRYSVILLE, PA 15668
MURRYSVILLE, PA 15668
33aNPI1932176781assigned 03/01/2006
33bProvider typeSpecialist
28Total paid$113K
24GClaims2,371
24DCodes billed3
24AFirst – last monthFeb 2018 – Dec 2024
Compared with peers
Next to other Specialist providers in Pennsylvania
Rank by total paid#85 of 543
Median peer was paid$16K
This provider vs. median7.1×
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 | |
|---|---|---|---|
| 2018 | 16 | $868.50 | |
| 2020 | 31 | $2K | |
| 2021 | 541 | $25K | |
| 2022 | 605 | $29K | |
| 2023 | 574 | $26K | |
| 2024incomplete | 604 | $30K |
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% | 1,404 | 1,300 | $77K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 31% | 946 | 886 | $35K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 21 | 14 | $610.00 |
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.